Jax Injury Care LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

JAX INJURY CARE LLC

Practice address

2931 Plummer Cove Rd
Jacksonville, FL 32223-6610

Phone

(904) 672-7861

Fax

(904) 672-7864

NPI assigned

May 10, 2022

Last updated

May 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vladimir Ronda Martinez

Title

President/Owner

Phone

(904) 480-3985

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1669118824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 SCOTT MILL PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236633",
            "telephone_number": "904-480-3985",
            "fax_number": "904-672-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 PLUMMER COVE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236610",
            "telephone_number": "904-672-7861",
            "fax_number": "904-672-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAX INJURY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "RONDA MARTINEZ",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "904-480-3985"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.