Active NPI
Matrix Medical LLC
- Oxygen Equipment & Supplies (DME)
- Jacksonville, FL
National Provider Identifier
1316374366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- MATRIX MEDICAL LLC
- Practice address
- 5121 Bowden Rd Ste 302
Jacksonville, FL 32216 - Phone
- (904) 345-2017
- Fax
- (907) 345-2468
- NPI assigned
- Oct 7, 2013
- Organization subpart
- Yes
- Parent organization
- AEROCARE HOLDINGS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen P Griggs
- Title
- Ceo
- Phone
- (407) 206-0040
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
5121 Bowden Rd Ste 302
Jacksonville, FL 32216
Mailing address
3325 Bartlett Blvd
Orlando, FL 32811-6428
Phone (407) 206-0040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030794700 | Medicaid | FL |
National Provider Directory
National Provider Directory- Part of
- Adapthealth West LLC
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Colorado Springs, CO
- NPI 1982298345
Member Of
-
- Oxygen Equipment & Supplies (DME)
- Colorado Springs, CO
- NPI 1912947383
Member Of
Locations
5121 Bowden Rd
Ste 302
Jacksonville, FL 32216
Phone (904) 345-2017
2525 Drane Field Rd
Ste 1
Lakeland, FL 33811
Phone (813) 759-2000
4562 McAshton St
Unit 12
Sarasota, FL 34233
Phone (941) 926-1982
56 S Dixie Hwy
Ste 1
St Augustine, FL 32084
Phone (904) 829-1799
1429 Chaffee Dr
Ste 6
Titusville, FL 32780
Phone (321) 267-7160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628035200000",
"number": "1316374366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 BARTLETT BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328116428",
"telephone_number": "407-206-0040",
"fax_number": "407-206-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5121 BOWDEN RD STE 302",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32216",
"telephone_number": "904-345-2017",
"fax_number": "907-345-2468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATRIX MEDICAL LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AEROCARE HOLDINGS LLC",
"enumeration_date": "2013-10-07",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A",
"authorized_official_last_name": "GRIGGS",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "407-206-0040"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030794700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 4, 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.