Organization Active NPI

Jacc Group Inc

  • Clinic/Center
  • Cutler Bay, FL
National Provider Identifier
1457585895
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on May 13, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.