Active NPI
Es Optimal Health Network of Florida, LLC
- Orthopaedic Surgery Physician
- Jacksonville, FL
National Provider Identifier
1457869323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ES OPTIMAL HEALTH NETWORK OF FLORIDA, LLC
- Practice address
- 1301 Riverplace Blvd # 800B
Jacksonville, FL 32207-9047 - Phone
- (615) 386-0064
- Fax
- (615) 386-0067
- NPI assigned
- Jan 13, 2018
- Last updated
- Nov 29, 2018
- 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
- Edward Leland Hutton Eadie
- Title
- Director
- Phone
- (615) 733-2064
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | FL | Primary | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | FL |
Addresses
Primary practice location
1301 Riverplace Blvd # 800B
Jacksonville, FL 32207-9047
Mailing address
102 Woodmont Blvd Ste 350
Nashville, TN 37205-2216
Phone (615) 386-0064
Other names 1
- Joint Replacement CIN of Jacksonville LLC
National Provider Directory
National Provider DirectoryLocations
1301 Riverplace Blvd
#800B
Jacksonville, FL 32207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543449600000",
"number": "1457869323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 350",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052216",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 RIVERPLACE BLVD # 800B",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322079047",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ES OPTIMAL HEALTH NETWORK OF FLORIDA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-13",
"last_updated": "2018-11-29",
"status": "A",
"authorized_official_last_name": "EADIE",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "LELAND HUTTON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "615-733-2064"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Joint Replacement CIN of Jacksonville LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.