Medical Studio Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME122201 Issued in FL

Legal business name

MEDICAL STUDIO INC

Doing business as

The Medical Studio

Practice address

1437 Flagler Ave
Jacksonville, FL 32207-8516

Phone

(904) 575-2285

NPI assigned

Sep 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Gabor Menczelesz, MD

Title

Authorized Representative

Phone

(904) 575-2285

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Medical Studio Doing business as

Locations

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1386193597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 PLAZA GATE LN S",
            "address_2": "APT 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322175411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 FLAGLER AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078516",
            "telephone_number": "904-575-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL STUDIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "MENCZELESZ",
        "authorized_official_first_name": "GABOR",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "904-575-2285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME122201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME122201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medical Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.