Jax's Family Care and Research Center, P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME70797 Issued in FL

Legal business name

JAX'S FAMILY CARE AND RESEARCH CENTER, P.A.

Practice address

5233 Ricker Rd Ste 101
Jacksonville, FL 32210

Phone

(904) 800-2332

Fax

(904) 634-7892

NPI assigned

Mar 12, 2008

Last updated

Jul 11, 2018By 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

Jairo Antonio Delahoz Jr.NPI 1972528545

Title

Manager

Phone

(904) 800-2332

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Sheridan Emergency Phys3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sheridan Emergency Physician Services Inc

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1578237707
  NPD tax ID
• Sheridan Emergency Physician Services Inc

  • Emergency Medicine Physician
  • Jupiter, FL
  • NPI 1659045862
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jairo Antonio De la Hoz, MD

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1972528545
  Medicare reassignment Care Compare group NPD Authorized official
• Rosangelly Colon-Torres, NP

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1568097129
  Medicare reassignment Care Compare group NPD
• Natosha Nicole Jackson, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1265689681
  Medicare reassignment Care Compare group NPD
• Raquel Perez, FNP

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1790223386
  Medicare reassignment NPD

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1275704710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 RICKER RD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101439",
            "telephone_number": "904-800-2332",
            "fax_number": "904-634-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 RICKER RD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32210",
            "telephone_number": "904-800-2332",
            "fax_number": "904-634-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAX'S FAMILY CARE AND RESEARCH CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "DELAHOZ",
        "authorized_official_first_name": "JAIRO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-800-2332",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME70797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251739600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jax Sleep Solutions LLC (Jeffrey B Schultz DDS)
• Jax Spine & Rehab PLLC
• Jax Surgical Assist LLC
• Jax Vision Care, PA
• Jax Visiting Medical Providers LLC
• Jax's Family Care and Research Center, P.a.
• Jaxcare Transportation Services LLC
• Jaxmediride, LLC
• Jaxoms, P.a.
• Dinesh Jayadevappa, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.