Jo Ridley LLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

JO RIDLEY LLC

Doing business as

AllerCare

Practice address

16372 Hibiscus Rd
Brooksville, FL 34601-4352

Phone

(352) 593-1565

NPI assigned

Aug 11, 2015

Last updated

Aug 11, 2015By 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

Keith Ridley

Title

Ceo

Phone

(352) 593-1563

Specialties & licenses 1

Addresses

Other names 1

• AllerCare Doing business as

Locations

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1194191346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 BENTON AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013213",
            "telephone_number": "352-593-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16372 HIBISCUS RD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346014352",
            "telephone_number": "352-593-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO RIDLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "RIDLEY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-593-1563"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AllerCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay N Rayan, MD
• Jay P Kumar MD PA
• Xavier M. Jenkins, M.D.
• Lixin Ji, MD
• Maria Ivonne Jimenez, APRN
• John Nickolai Joaquin
• John Parrinello, PA
• Sindhu John, PHARMACIST
• Deanna Edythe Johnson, SLP/CCC
• Gina Johnson, MOT, OTR/L

• Allergy & Immunology Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.