JDC Med LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

JDC MED LLC

Practice address

104 Marcia Dr
Altamonte Springs, FL 32714-2913

Phone

(407) 573-6627

Fax

(407) 378-7755

NPI assigned

Apr 16, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Daniel Carrazana, PA-CNPI 1417670951

Title

Owner

Phone

(407) 920-8337

Specialties & licenses 1

Addresses

Other names 1

• Real Medical Altamonte Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Daniel Carrazana, PA-C

  • Medical Physician Assistant
  • Lake Mary, FL
  • NPI 1417670951
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1003660093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MARCIA DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142913",
            "telephone_number": "407-573-6627",
            "fax_number": "407-378-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MARCIA DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142913",
            "telephone_number": "407-573-6627",
            "fax_number": "407-378-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDC MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "CARRAZANA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-920-8337",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Real Medical Altamonte",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Real Medical Altamonte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeline Japp
• Dejah Jarrells, ARNP
• Caitlin Jarvis-Ruble, PHARMD
• Jasper Health Services Florida LLC
• Lissette Lynn Javier, MPT, ATC
• Nicodemme Jean-Baptiste
• Theodule N Jean-Pierre Sr.
• Anthony James Jedwabny, ATC, CSCS
• Stacey Jefferies, NP
• Jeffrey J Elston MD PA

• Multi-Specialty Clinic/Center in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.