J & B Medical Transport LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

J & B MEDICAL TRANSPORT LLC

Practice address

11 Renfro LN
Palm Coast, FL 32164-6665

Phone

(904) 442-4701

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Justin E Chadwick

Title

Owner

Phone

(904) 442-4701

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1154976819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RENFRO LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646665",
            "telephone_number": "904-442-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RENFRO LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646665",
            "telephone_number": "904-442-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & B MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "CHADWICK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-442-4701"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ips of Palm Coast LLC
• Muhammad Fahair Iqbal, MD
• Michael Alan Isicoff, MD
• Sofond IV
• Christine M Ivankiv, MS CCC-SLP
• Susan Marie Jabs
• Alyssa Jackson
• Anita Dionne Jackson
• Donna Kay Jackson
• Jade Jackson, L.D.O

• Private Vehicle in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Private Vehicle in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.