Jetdoc, Inc.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

JETDOC, INC.

Practice address

7787 Arbor Crest Way
Palm Beach Gardens, FL 33412-2465

Phone

(561) 389-1380

NPI assigned

Nov 9, 2020

Organization subpart

No

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

Authorized official

Name

Isabelle Dieckmann

Title

VP Operations

Phone

(833) 453-8362

Specialties & licenses 1

Addresses

Other names 1

• Consultz, Inc. Former legal business name

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1407458136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7787 ARBOR CREST WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334122465",
            "telephone_number": "561-389-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7787 ARBOR CREST WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334122465",
            "telephone_number": "561-389-1380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Pga Blvd Ste 600&602",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334102758",
            "country_code": "US",
            "telephone_number": "833-453-8362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Pga Blvd Ste 600&602",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334102758",
            "country_code": "US",
            "telephone_number": "833-453-8362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JETDOC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "DIECKMANN",
        "authorized_official_first_name": "ISABELLE",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "833-453-8362"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Consultz, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lafayette Ervin Jenkins, LMHC, LPHA, CAMS-3
• Dena Jenne
• Jennifer Bagwell LLC
• Edward M Jeryan, MD
• Jessica E Harrison, LCSW
• Rose Jeudine
• Jason Martin Jewell, D.C.
• JFK Medical Center Limited Partnership (HCA Florida Palm Beach Gardens Emergency, a department of HCA Florida JFK Hospital)
• JFS Homecare LLC (JFS ComForcare)
• Jessica Jimenez, DPT

• Public Health or Welfare Agency in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Public Health or Welfare Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.