Active NPI
JMJ Family Practice Inc
- Primary Care Clinic/Center
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- JMJ FAMILY PRACTICE INC
- Practice address
- 300 N. John Young Pkwy
Kissimmee, FL 34741 - Phone
- (407) 935-9012
- Fax
- (407) 935-9108
- NPI assigned
- Oct 2, 2006
- 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
- Dr. Jose Ramon Fernandez
- Title
- Medical Doctor / Owner
- Phone
- (407) 935-9012
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
300 N. John Young Pkwy
Kissimmee, FL 34741
Mailing address
300 N John Young Pkwy
Kissimmee, FL 34741-4902
Phone (407) 935-9012
Other practice location 1
2040 Highway A1A Ste 209
Indian Harbour Beach, FL 32937-3566
Phone (321) 425-2233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1046032 | JMJ Family Practice | Certificate of waiver | Sep 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
300 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 935-9012
Interoperability endpoints
- https://api.platform.athenahealth.com/10787/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Kissimme, FL
- NPI 1063516284
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1699130799
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1497372692
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1457866857
-
- Family Nurse Practitioner
- Melbourne, FL
- NPI 1619652625
-
- Physician Assistant
- Naples, FL
- NPI 1184212425
-
- Family Nurse Practitioner
- Indian Harbour Beach, FL
- NPI 1255990883
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1962323220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568246400000",
"number": "1295828887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N JOHN YOUNG PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414902",
"telephone_number": "407-935-9012",
"fax_number": "407-935-9108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N. JOHN YOUNG PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "34741",
"telephone_number": "407-935-9012",
"fax_number": "407-935-9108"
}
],
"practiceLocations": [
{
"address_1": "2040 Highway A1A Ste 209",
"address_purpose": "LOCATION",
"city": "Indian Harbour Beach",
"state": "FL",
"postal_code": "329373566",
"country_code": "US",
"telephone_number": "321-425-2233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JMJ FAMILY PRACTICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2019-09-12",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "RAMON",
"authorized_official_title_or_position": "MEDICAL DOCTOR / OWNER",
"authorized_official_telephone_number": "407-935-9012",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.