Health Park Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HEALTH PARK MEDICAL SUPPLY

Practice address

1892 Bellair Blvd
Orange Park, FL 32073-4548

Phone

(904) 541-0207

Fax

(904) 264-2067

NPI assigned

Sep 18, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Bryan K Jacobs

Title

Director/Manager

Phone

(904) 541-0207

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1346574670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1892 BELLAIR BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734548",
            "telephone_number": "904-541-0207",
            "fax_number": "904-264-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1892 BELLAIR BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734548",
            "telephone_number": "904-541-0207",
            "fax_number": "904-264-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PARK MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR/MANAGER",
        "authorized_official_telephone_number": "904-541-0207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Tyler Hawkins, PA-C
• David W Hayes, D.O.
• Ellen Haynes
• HCA Orange Park
• Health and Soul Integrative Wellness Consulting and Coaching
• Healthcare Extraordinare, LLC
• Wendy Lea Healy, MOTR/L
• Hearing AIDS Today
• Hearing Centers of Florida
• Heartland of Orange Park FL LLC

• Durable Medical Equipment & Medical Supplies in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.