Jacksonville Operating Company LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

JACKSONVILLE OPERATING COMPANY LLC

Doing business as

American Sleep Medicine

Practice address

7900 Belfort Parkway
Suite 300
Jacksonville, FL 32256-6978

Phone

(904) 281-0107

Fax

(904) 281-0788

NPI assigned

Jul 18, 2006

Last updated

Jan 22, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

AMERICAN SLEEP MEDICINE, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Jim Evanger

Title

President

Phone

(904) 517-5500

Specialties & licenses 1

Addresses

Other names 1

• American Sleep Medicine Doing business as

Part of

American Sleep Medicine LLC

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1174541841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 BELFORT PARKWAY",
            "address_2": "301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566978",
            "telephone_number": "904-517-5500",
            "fax_number": "904-517-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 BELFORT PARKWAY",
            "address_2": "SUITE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566978",
            "telephone_number": "904-281-0107",
            "fax_number": "904-281-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE OPERATING COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN SLEEP MEDICINE, LLC",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "EVANGER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-517-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Sleep Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sleep Disorder Diagnostic Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Sleep Disorder Diagnostic Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.