Active NPI
Jacc Group Inc
- Clinic/Center
- Cutler Bay, FL
National Provider Identifier
1457585895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- JACC GROUP INC
- Practice address
- 18495 S Dixie Hwy
Suite 309
Cutler Bay, FL 33157-6817 - Phone
- (786) 343-6635
- NPI assigned
- May 13, 2009
- 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
- Jose A Garcia
- Title
- Ceo
- Phone
- (786) 343-6635
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
18495 S Dixie Hwy
Suite 309
Cutler Bay, FL 33157-6817
Mailing address
18495 S Dixie Hwy
Suite 309
Cutler Bay, FL 33157-6817
Phone (786) 343-6635
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242172800000",
"number": "1457585895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18495 S DIXIE HWY",
"address_2": "SUITE 309",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331576817",
"telephone_number": "786-343-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18495 S DIXIE HWY",
"address_2": "SUITE 309",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331576817",
"telephone_number": "786-343-6635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACC GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-13",
"last_updated": "2009-05-13",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-343-6635"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.