Active NPI
JSP Medical Inc
- Internal Medicine Physician
- Saint Cloud, FL
National Provider Identifier
1457928277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- JSP MEDICAL INC
- Practice address
- 3931 Wind Dancer Cir
Saint Cloud, FL 34772-8281 - Phone
- (917) 622-7290
- NPI assigned
- Jun 9, 2021
- 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
- Juan Perez, MD
- Title
- President
- Phone
- (917) 622-7290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3931 Wind Dancer Cir
Saint Cloud, FL 34772-8281
Mailing address
3931 Wind Dancer Cir
Saint Cloud, FL 34772-8281
Phone (917) 622-7290
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Winter Garden, FL
- NPI 1578996468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623196800000",
"number": "1457928277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3931 WIND DANCER CIR",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347728281",
"telephone_number": "917-622-7290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3931 WIND DANCER CIR",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347728281",
"telephone_number": "917-622-7290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JSP MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-09",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "JUAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-622-7290",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.