Active NPI
Irc Medical, LLC
- Clinic/Center
- Jacksonville, FL
National Provider Identifier
1417346867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- ME19409
- Legal business name
- IRC MEDICAL, LLC
- Doing business as
- Knee Meds
- Practice address
- 6817 Southpoint Pkwy
Suite 2304
Jacksonville, FL 32216-6282 - Phone
- (844) 563-3633
- NPI assigned
- Jan 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Margaret L Fitton
- Title
- Manager
- Phone
- (844) 563-3633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | ME19409 | FL | Primary |
Addresses
Primary practice location
6817 Southpoint Pkwy
Suite 2304
Jacksonville, FL 32216-6282
Mailing address
13 Cedar CT
Palm Coast, FL 32137-8953
Phone (678) 772-5506
Other names 1
- Knee Meds
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422921600000",
"number": "1417346867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 CEDAR CT",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321378953",
"telephone_number": "678-772-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6817 SOUTHPOINT PKWY",
"address_2": "SUITE 2304",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322166282",
"telephone_number": "844-563-3633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRC MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-22",
"last_updated": "2015-02-03",
"status": "A",
"authorized_official_last_name": "FITTON",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "844-563-3633"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "FL",
"license": "ME19409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Knee Meds",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.