Active NPI
Action Disability Resources
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
National Provider Identifier
1114218773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1735580000
- Legal business name
- ACTION DISABILITY RESOURCES
- Practice address
- 5609 Timuquana Rd
Jacksonville, FL 32210-8054 - Phone
- (904) 777-1979
- Fax
- (904) 771-0150
- NPI assigned
- Apr 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jack Ruiz
- Title
- Owner/Ceo
- Phone
- (904) 777-1979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1735580000 | FL | Primary |
Addresses
Primary practice location
5609 Timuquana Rd
Jacksonville, FL 32210-8054
Mailing address
5609 Timuquana Rd
Jacksonville, FL 32210-8054
Phone (904) 777-1979
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304035200000",
"number": "1114218773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5609 TIMUQUANA RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322108054",
"telephone_number": "904-777-1979",
"fax_number": "904-771-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5609 TIMUQUANA RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322108054",
"telephone_number": "904-777-1979",
"fax_number": "904-771-0150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTION DISABILITY RESOURCES",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-29",
"last_updated": "2011-04-29",
"status": "A",
"authorized_official_last_name": "RUIZ",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "904-777-1979",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "1735580000",
"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 Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.