Jax'S Family Care and Research Center, P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME70797 Issued in FL

Legal business name

JAX'S FAMILY CARE AND RESEARCH CENTER, P.A.

Practice address

5233 Ricker Rd Ste 101
Suite 101
Jacksonville, FL 32224-1148

Phone

(904) 425-6963

NPI assigned

Nov 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jairo Antonio De la Hoz Jr., BBANPI 1972528545

Title

Administrator

Phone

(904) 425-6963

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jairo Antonio De la Hoz, MD

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1972528545
  NPD Authorized official

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1649451295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 RICKER RD STE 101",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 RICKER RD STE 101",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241148",
            "telephone_number": "904-425-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAX'S FAMILY CARE AND RESEARCH CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "DE LA HOZ",
        "authorized_official_first_name": "JAIRO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-425-6963",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME70797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jax Spine & Rehab PLLC
• Jax Surgical Assist LLC
• Jax Vision Care, PA
• Jax Visiting Medical Providers LLC
• Jax'S Family Care and Research Center, P.a.
• Jaxcare Transportation Services LLC
• Jaxmediride, LLC
• Jaxoms, P.a.
• Dinesh Jayadevappa, M.D.
• Isuru Sampath Jayaratna, M.D.

• Primary Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.