JDM Medical,Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

JDM MEDICAL,INC.

Practice address

4562 Chumuckla Hwy
Pace, FL 32571-1004

Phone

(850) 995-0382

Fax

(850) 995-4116

NPI assigned

Jan 7, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jack Donahue McDonald Sr.

Title

President

Phone

(850) 995-0382

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1467699801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4562 CHUMUCKLA HWY",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711004",
            "telephone_number": "850-995-0382",
            "fax_number": "850-995-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4562 CHUMUCKLA HWY",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711004",
            "telephone_number": "850-995-0382",
            "fax_number": "850-995-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDM MEDICAL,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DONAHUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-995-0382",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Pace, FL
• Providers in Pace, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.