MEDEX CLINIC LLC NPI 1750537445

NPI Information

NPI: 1750537445
Provider Name: MEDEX CLINIC, LLC

Doing Business As: MEDEX CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
865 CASSAT AVE
JACKSONVILLE, FL
ZIP 32205
Phone: (904) 388-3229
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MEDEX CLINIC, LLC is a primary care clinic center in Jacksonville, FL. MEDEX CLINIC, LLC NPI is 1750537445. The provider is registered as an organization entity type.
The provider Is Doing Business As Medex Clinic.

The provider's business location address is:

865 CASSAT AVE
JACKSONVILLE, FL
ZIP 32205-856
Phone: (904) 388-3229
Fax: (904) 388-8611

The provider's authorized official is Asim Nouman .
The authorized official title is President-mgrm and has the following contact phone number (904) 388-3229.

The enumeration date for this NPI number is 8/13/2008 and was last updated on 8/25/2014.

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	ME100337	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	1427237916	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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