NPIMap

Organization Active NPI

Hydro Infusions, LLC

  • Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1093389975
Registry record updated May 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HYDRO INFUSIONS, LLC
Practice address
14797 Philips Hwy Ste 201
Jacksonville, FL 32256-3746
Phone
(904) 567-3998
Fax
(904) 567-5790
NPI assigned
May 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2021

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

Authorized official

Name
Dr. Travis Jeffords, DNPNPI 1366933947
Title
MGR
Phone
(904) 567-3998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

14797 Philips Hwy Ste 201
Jacksonville, FL 32256-3746

Mailing address

11 Gray Wolf TRL
Ponte Vedra, FL 32081-6052
Phone (904) 567-3998

National Provider Directory

National Provider Directory

Locations

14797 Philips Hwy
Ste 201
Jacksonville, FL 32256
Phone (904) 567-3998

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1621123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621123200000",
    "number": "1093389975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GRAY WOLF TRL",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816052",
            "telephone_number": "904-567-3998",
            "fax_number": "904-567-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14797 PHILIPS HWY STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563746",
            "telephone_number": "904-567-3998",
            "fax_number": "904-567-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDRO INFUSIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-16",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A",
        "authorized_official_last_name": "JEFFORDS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "904-567-3998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 16, 2021; 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.