Organization Active NPI

Omega Medical Inc.

  • Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1124577457
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OMEGA MEDICAL INC.
Practice address
4320 Deerwood Lake Pkwy
Suite 719
Jacksonville, FL 32216-1177
Phone
(404) 388-6686
NPI assigned
Sep 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Nate Hollander
Title
Owner
Phone
(404) 388-6686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4320 Deerwood Lake Pkwy
Suite 719
Jacksonville, FL 32216-1177

Mailing address

4320 Deerwood Lake Pkwy
Suite 719
Jacksonville, FL 32216-1177

National Provider Directory

National Provider Directory

Locations

4320 Deerwood Lake Pkwy
Ste 719
Jacksonville, FL 32216
Phone (404) 388-6686

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1124577457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 DEERWOOD LAKE PKWY",
            "address_2": "SUITE 719",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 DEERWOOD LAKE PKWY",
            "address_2": "SUITE 719",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161177",
            "telephone_number": "404-388-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "HOLLANDER",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-388-6686"
    },
    "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 Sep 28, 2016; 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.