Jacksonville Injury & Rehab

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JACKSONVILLE INJURY & REHAB

Practice address

859 Park Ave
Suite 102
Orange Park, FL 32073-4187

Phone

(904) 278-7411

Fax

(904) 278-4446

NPI assigned

Dec 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sergio Mauricio Triana, D.C.

Title

President

Phone

(904) 278-7411

Specialties & licenses 1

Addresses

Tax ID family

Jacksonville Injury Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jacksonville Injury & Rehab

  • Chiropractor
  • Orange Park, FL
  • NPI 1235479130
  NPD tax ID

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1154624625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 PARK AVE",
            "address_2": "SUITE 102",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734187",
            "telephone_number": "904-278-7411",
            "fax_number": "904-278-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 PARK AVE",
            "address_2": "SUITE 102",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734187",
            "telephone_number": "904-278-7411",
            "fax_number": "904-278-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE INJURY & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "TRIANA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "MAURICIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-278-7411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nawzad Nazar Jacksi
• Brandi Jackson, LCSW
• Domonique Jackson, LCSW
• Jacksonville Community Midwives LLC
• Jacksonville Emergency Consultants,PA
• Jacksonville Injury & Rehab
• Jacksonville Medical Group, LLC
• Jacksonville Ms and Neurology Center, P.a.
• Jacksonville Multispecialty Services, LLC
• Jacksonville Neurological Clinic, P.a.

• Chiropractor in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.