Jax Mobile Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

JAX MOBILE URGENT CARE

Practice address

17450 Eagle Bend Blvd
Jacksonville, FL 32226-1178

Phone

(954) 696-2828

NPI assigned

Jun 19, 2023

Organization subpart

Yes

Parent organization

BKLYN STRONG, INCAs reported in NPPES

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

Authorized official

Name

Mr. Adrian Andrews, PA-CNPI 1689608598

Title

Owner

Phone

(904) 532-1796

Specialties & licenses 1

Addresses

Part of

Jax Mobile Urgent Care

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adrian Andrews, PA

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1689608598
  NPD Authorized official

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1336824382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17450 EAGLE BEND BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322261178",
            "telephone_number": "954-696-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17450 EAGLE BEND BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322261178",
            "telephone_number": "954-696-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAX MOBILE URGENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BKLYN STRONG, INC",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-532-1796",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.