Organization Active NPI

Irc Medical, LLC

  • Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1417346867
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME19409 Issued in FL
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

Updated by the provider on Feb 3, 2015

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.