JAX'S FAMILY CARE AND RESEARCH CENTER P.A. NPI 1649451295

NPI Information

NPI: 1649451295
Provider Name: JAX'S FAMILY CARE AND RESEARCH CENTER, P.A.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5233 RICKER RD STE 101
SUITE 101
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 425-6963
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JAX'S FAMILY CARE AND RESEARCH CENTER, P.A. is a primary care clinic center in Jacksonville, FL. JAX'S FAMILY CARE AND RESEARCH CENTER, P.A. NPI is 1649451295. The provider is registered as an organization entity type.

The provider's business location address is:

5233 RICKER RD STE 101
SUITE 101
JACKSONVILLE, FL
ZIP 32224-148
Phone: (904) 425-6963

The provider's authorized official is Jairo Antonio De La Hoz .
The authorized official title is Administrator and has the following contact phone number (904) 425-6963.

The enumeration date for this NPI number is 11/23/2007 and was last updated on 11/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	ME70797	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	31309X	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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