Organization Active NPI

Jax Medical Inc

  • Transportation Broker
  • Jacksonville, FL
National Provider Identifier
1669947255
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
JAX MEDICAL INC
Practice address
2301 Hirsch Ave
Jacksonville, FL 32216-5189
Phone
(904) 214-2294
NPI assigned
Oct 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Authorized official

Name
Danay Hernandez
Title
President
Phone
(904) 214-2294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

2301 Hirsch Ave
Jacksonville, FL 32216-5189

Mailing address

PO Box 551133
Jacksonville, FL 32255-1133

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1669947255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551133",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322551133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HIRSCH AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165189",
            "telephone_number": "904-214-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAX MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DANAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-214-2294"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 10, 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.

Verify at the official NPI Registry.