Organization Active NPI

Vijapura Spine & Sports Medicine, PA

  • Student in an Organized Health Care Education/Training Program
  • Jacksonville, FL
National Provider Identifier
1245877547
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
VIJAPURA SPINE & SPORTS MEDICINE, PA
Practice address
9141 Cypress Green Dr Ste 1
Jacksonville, FL 32256-2006
Phone
(904) 400-3987
NPI assigned
Dec 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Authorized official

Name
Anita Vijapura, MD
Title
Sports Medicine
Phone
(904) 400-3987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

9141 Cypress Green Dr Ste 1
Jacksonville, FL 32256-2006

Mailing address

8236 Chester Lake Rd N
Jacksonville, FL 32256-3402
Phone (904) 400-3987

Other names 1

  • Anita Vijapura Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1245877547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8236 CHESTER LAKE RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563402",
            "telephone_number": "904-400-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9141 CYPRESS GREEN DR STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562006",
            "telephone_number": "904-400-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAPURA SPINE & SPORTS MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "VIJAPURA",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "SPORTS MEDICINE",
        "authorized_official_telephone_number": "904-400-3987",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anita Vijapura",
            "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 Dec 5, 2019; 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.