Organization Active NPI

Matrix Medical LLC

  • Oxygen Equipment & Supplies (DME)
  • Jacksonville, FL
National Provider Identifier
1316374366
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
030794700MedicaidFL

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.

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.

Verify at the official NPI Registry.