Organization Active NPI

Omajus Medical Services LLC

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1184564809
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OMAJUS MEDICAL SERVICES LLC
Practice address
8563 Argyle Business Loop Ste 3
Jacksonville, FL 32244-6613
Phone
(904) 802-7048
Fax
(904) 802-7068
NPI assigned
Mar 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Urdif T EncarnacionNPI 1255205290
Title
Arnp
Phone
(786) 612-1213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8563 Argyle Business Loop Ste 3
Jacksonville, FL 32244-6613

Mailing address

432 Chandler Dr
Saint Johns, FL 32259-9327
Phone (786) 612-1213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260521001882 FL Part B Supplier - Clinic/Group Practice 0446729230 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1184564809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 CHANDLER DR",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322599327",
            "telephone_number": "786-612-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8563 ARGYLE BUSINESS LOOP STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446613",
            "telephone_number": "904-802-7048",
            "fax_number": "904-802-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAJUS MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "ENCARNACION",
        "authorized_official_first_name": "URDIF",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "786-612-1213"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.