Jam Healthcare Services Supplies, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

JAM HEALTHCARE SERVICES SUPPLIES, INC

Practice address

750 S Orange Blossom TRL Ste 41
Orlando, FL 32805-3138

Phone

(407) 801-2863

Fax

(407) 350-3185

NPI assigned

Apr 9, 2021

Organization subpart

No

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

Authorized official

Name

Juanita Martin

Title

Ceo

Phone

(407) 801-2863

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1285214700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S ORANGE BLOSSOM TRL STE 41",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053138",
            "telephone_number": "407-801-2863",
            "fax_number": "407-350-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S ORANGE BLOSSOM TRL STE 41",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053138",
            "telephone_number": "407-801-2863",
            "fax_number": "407-350-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAM HEALTHCARE SERVICES SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-801-2863"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Jalanbo
• Marcelo Jaldin
• Juan Jose Jaller Char, M.D.
• Gabriel Jalles, PMHNP-BC
• Mattie Zaria Jallow-Marinucci
• Jam Healthcare Services, LLC
• Jam Homecare Services, LLC
• Jam Homecare Services, LLC
• Jamal a Abusuwa MD PA
• Joshua Jamerson

• Customized Equipment (DME) in Orlando, FL
• Providers in Orlando, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.