Saul Medina

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

JF129144 Issued in FL

Practice address

8421 Cheswick Oak Ave
Jacksonville, FL 32244

Phone

(904) 651-5010

NPI assigned

Mar 29, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Florida Pest & Plant Services Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• S & D Lawn Care Services Corp

  • Home Modifications Contractor
  • Jacksonville, FL
  • NPI 1467015412
  NPD (past) Authorized official

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1013478247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 ARGYLE FOREST BLVD UNIT B2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222827",
            "telephone_number": "904-651-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 CHESWICK OAK AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32244",
            "telephone_number": "904-651-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "SAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "FL",
            "license": "JF129144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FLORIDA PEST & PLANT",
            "last_name": "SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jazmyn Mireya Medina
• Jessica Marie Medina
• Joseph Michael Medina, DMD
• Nancy Medina, M.D.
• Richard Hiwatig Medina, DNP
• Tracie Drinkwater Medina, APRN
• Sherri Lorraine Medious-Jordan
• Medsports Promassage
• Medstar Clinic LLC
• Jillian Kimberly Medure, D.M.D

• Home Modifications Contractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Modifications Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.