NPIMap

Organization Active NPI

Hormone Health and Weight Loss

  • Health Service Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1326474271
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
604198 Issued in FL
Legal business name
HORMONE HEALTH AND WEIGHT LOSS
Practice address
11363 San Jose Blvd
St. 102
Jacksonville, FL 32223-7957
Phone
(904) 527-2000
Fax
(904) 527-2001
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Eric Scott Chastain
Title
Owner
Phone
(904) 527-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 604198 FL Primary

Addresses

Primary practice location

11363 San Jose Blvd
St. 102
Jacksonville, FL 32223-7957

Mailing address

11363 San Jose Blvd
St. 102
Jacksonville, FL 32223-7957
Phone (904) 527-2000

National Provider Directory

National Provider Directory
Tax ID family
Hormone Health and Weight Loss8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1326474271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11363 SAN JOSE BLVD",
            "address_2": "ST. 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237957",
            "telephone_number": "904-527-2000",
            "fax_number": "904-527-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11363 SAN JOSE BLVD",
            "address_2": "ST. 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237957",
            "telephone_number": "904-527-2000",
            "fax_number": "904-527-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORMONE HEALTH AND WEIGHT LOSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "CHASTAIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-527-2000"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "604198",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 24, 2013; 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.