Jet Medical Center LLC

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

ME 96416 Issued in FL

Legal business name

JET MEDICAL CENTER LLC

Practice address

2221 SW 19 Av Rd
Ste 100
Ocala, FL 34471

Phone

(352) 629-9100

Fax

(352) 629-9200

NPI assigned

Apr 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Samer R. Choksi, MD MPHNPI 1144385337

Title

President

Phone

(352) 203-4408

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Samer R Choksi, MD, MPH

  • Occupational Medicine Physician
  • Ocala, FL
  • NPI 1144385337
  Medicare reassignment Authorized official
• Jason Nowak

  • Medical Physician Assistant
  • Ocala, FL
  • NPI 1366086233
  NPD (past)

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1083971360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 SW 19TH AVENUE RD UNIT 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717758",
            "telephone_number": "522-034-4083",
            "fax_number": "844-602-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 SW 19 AV RD",
            "address_2": "STE 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-629-9100",
            "fax_number": "352-629-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JET MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "CHOKSI",
        "authorized_official_first_name": "SAMER",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-203-4408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MPH"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "FL",
            "license": "ME 96416",
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "FL",
            "license": "ME96416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preventive Medicine/Occupational Environmental Medicine Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.