Active NPI
Physicians Resource Network of Jacksonville, Inc.
Doing business as Physicians Resource Network
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
National Provider Identifier
1184845612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1927
- Legal business name
- PHYSICIANS RESOURCE NETWORK OF JACKSONVILLE, INC.
- Doing business as
- Physicians Resource Network
- Practice address
- 6005 Powers Ave Ste 105
Jacksonville, FL 32217-2280 - Phone
- (904) 731-7880
- Fax
- (904) 731-7881
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maria Caridad Edwards
- Title
- President
- Phone
- (904) 731-7880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1927 | FL | Primary |
Addresses
Primary practice location
6005 Powers Ave Ste 105
Jacksonville, FL 32217-2280
Mailing address
6005 Powers Ave Ste 105
Jacksonville, FL 32217-2280
Phone (904) 731-7880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M2543 | Other | FL | BLUE CROSS & BLUE SHIELD |
| 7817417 | Other | FL | AETNA |
Other names 1
- Physicians Resource Network
National Provider Directory
National Provider DirectoryLocations
6005 Powers Ave
Ste 105
Jacksonville, FL 32217
Phone (904) 731-7880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184845612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 POWERS AVE STE 105",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322172280",
"telephone_number": "904-731-7880",
"fax_number": "904-731-7881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 POWERS AVE STE 105",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322172280",
"telephone_number": "904-731-7880",
"fax_number": "904-731-7881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS RESOURCE NETWORK OF JACKSONVILLE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "CARIDAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-731-7880",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "1927",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "M2543",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7817417",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Physicians Resource Network",
"code": "3",
"type": "Doing Business As"
}
]
}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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.