Jac DME Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JAC DME SERVICES LLC

Practice address

4036 NW 9TH Ave # 4038
Oakland Park, FL 33309-5053

Phone

(754) 701-1093

NPI assigned

Jan 5, 2022

Last updated

Jan 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremie Campos

Title

Owner

Phone

(754) 701-1093

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1407517139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 NW 9TH AVE # 4038",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333095053",
            "telephone_number": "754-701-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 NW 9TH AVE # 4038",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333095053",
            "telephone_number": "754-701-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAC DME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "JEREMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-701-1093"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Oakland Park, FL
• Providers in Oakland 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 Jan 5, 2022; 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.