Organization Active NPI

Action Disability Resources

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1114218773
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1735580000 Issued in FL
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

Updated by the provider on Apr 29, 2011

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.