MJ Investment Enterprises, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MJ INVESTMENT ENTERPRISES, LLC

Practice address

2 Pine Lakes Pkwy N Ste 7
Palm Coast, FL 32137-3644

Phone

(407) 808-8817

NPI assigned

Jul 16, 2018

Last updated

Jul 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Ellicott

Title

Coo

Phone

(386) 299-5003

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1154807824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PINE LAKES PKWY N STE 7",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373644",
            "telephone_number": "407-808-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PINE LAKES PKWY N STE 7",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373644",
            "telephone_number": "407-808-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ INVESTMENT ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "ELLICOTT",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "386-299-5003"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Miller, LMHC, MCAP
• Yohanna Mills
• Charles Lester Talan Mitchell, PT, DPT
• Nicole Mitchell
• Tamara Michelle Mitchell, LPN
• Mlacson Rnfa Services Inc.
• Patricia Isabel Modad, M.D., F.A.C.O.G.
• Nicole Moffett, SLPA
• Muneeruddin Mohammed, M.D.
• Lauryn Brooke Mohler, DMD

• Durable Medical Equipment & Medical Supplies in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.