Jax Medicalassoc.,Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME51890 Issued in FL

Legal business name

JAX MEDICALASSOC.,INC.

Practice address

4131 University Blvd S
BLDG # 8
Jacksonville, FL 32216-4326

Phone

(904) 733-3992

Fax

(904) 737-4344

NPI assigned

Oct 26, 2015

Last updated

Oct 26, 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

Elias N Saikali, MD.NPI 1790774123

Title

President

Phone

(904) 733-3992

Specialties & licenses 3

Addresses

Practitioners 1

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.

• Elias N Saikali

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1790774123
  NPD Authorized official

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1316319791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160340",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327160340",
            "telephone_number": "904-733-3992",
            "fax_number": "904-737-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY BLVD S",
            "address_2": "BLDG # 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164326",
            "telephone_number": "904-733-3992",
            "fax_number": "904-737-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAX MEDICALASSOC.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "SAIKALI",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-733-3992",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS3216",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0047248",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME51890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jax Home Health, Inc. (Home Instead Senior Care)
• Jax Injury Care LLC
• Jax Integrity Partners, Inc.
• Jax Laboratories, LLC
• Jax Medical Inc
• Jax Mobile Urgent Care
• Jax Nora One LLC (Nora Mental Health)
• Jax OB-GYN PA
• Jax Patient Care (JaxCare)
• Jax Premier Health Center PLLC

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.