Organization Active NPI

Uds, Inc

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1063456408
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1729 Issued in FL
Legal business name
UDS, INC
Practice address
2375 St Johns Bluff Rd S
# 306
Jacksonville, FL 32246
Phone
(904) 721-2225
Fax
(877) 430-2291
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Mr. Vince Carl Pessolano III
Title
President
Phone
(904) 721-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1729 FL Primary

Addresses

Primary practice location

2375 St Johns Bluff Rd S
# 306
Jacksonville, FL 32246

Mailing address

2375 St Johns Bluff Rd S
Ste 306
Jacksonville, FL 32246
Phone (904) 721-2225

Other identifiers 5

IdentifierTypeStateIssuer
025903900MedicaidFL
330998744OtherFLTAX ID #
684821400OtherFLAAA WAIVER ID#
685292196OtherFLDS WAIVER ID
R9263OtherFLBCBS PROVIDER #

Other names 1

  • Universal Design Solutions PDG Medical Former legal business name

National Provider Directory

National Provider Directory

Locations

2375 Saint Johns Bluff Rd S
Ste 306
Jacksonville, FL 32246
Phone (904) 721-2225

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1063456408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 ST JOHNS BLUFF RD S",
            "address_2": "STE 306",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32246",
            "telephone_number": "904-721-2225",
            "fax_number": "877-430-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 ST JOHNS BLUFF RD S",
            "address_2": "# 306",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32246",
            "telephone_number": "904-721-2225",
            "fax_number": "877-430-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "PESSOLANO",
        "authorized_official_first_name": "VINCE",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-721-2225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025903900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "330998744",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAA WAIVER ID#",
            "identifier": "684821400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DS WAIVER ID",
            "identifier": "685292196",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "R9263",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Design Solutions PDG Medical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.