Organization Active NPI

Maytin Integrated Healthcare, Inc

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1336763044
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
MAYTIN INTEGRATED HEALTHCARE, INC
Doing business as
Maytin Integrated Healthcare,Inc
Practice address
12443 San Jose Blvd Ste 403
Jacksonville, FL 32223-8650
Phone
(904) 923-4782
NPI assigned
May 29, 2020
Last updated
May 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
Rosa Maytn, ARNP
Title
Ceo
Phone
(904) 923-4782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

12443 San Jose Blvd Ste 403
Jacksonville, FL 32223-8650

Mailing address

12443 San Jose Blvd Ste 403
Jacksonville, FL 32223-8650
Phone (904) 923-4782

Other names 1

  • Maytin Integrated Healthcare,Inc Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL MIHC@maytinIHC.onmicrosoft.com

National Provider Directory

National Provider Directory

Locations

12443 San Jose Blvd
Ste 403
Jacksonville, FL 32223
Phone (904) 413-3360

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1336763044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12443 SAN JOSE BLVD STE 403",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238650",
            "telephone_number": "904-923-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12443 SAN JOSE BLVD STE 403",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238650",
            "telephone_number": "904-923-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYTIN INTEGRATED HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "MAYTN",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-923-4782",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MIHC@maytinIHC.onmicrosoft.com",
            "affiliation": "N",
            "address_1": "12443 San Jose Blvd Ste 403",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322238650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Maytin Integrated Healthcare,Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 29, 2020; 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.