Tailor-Made Medical Solutions

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

4396 Issued in FL

Legal business name

TAILOR-MADE MEDICAL SOLUTIONS

Practice address

1891 N. Clyde Morris Blvd, Ste 100
Daytona Beach, FL 32117

Phone

(386) 492-7718

Fax

(386) 492-7720

NPI assigned

Aug 13, 2013

Organization subpart

Yes

Parent organization

3D VISION INC.As reported in NPPES

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

Authorized official

Name

Dr. Allen Tony Jackson, MD

Title

Director

Phone

(386) 492-7718

Specialties & licenses 1

Addresses

Part of

3D Vision Eye Surgery Center

Locations

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1699108795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 N. CLYDE MORRIS BLVD, STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-492-7718",
            "fax_number": "386-492-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 N. CLYDE MORRIS BLVD, STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-492-7718",
            "fax_number": "386-492-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAILOR-MADE MEDICAL SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "3D VISION INC.",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "TONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "386-492-7718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "4396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Syring, APRN
• Julie Lynne Szymczak, RPH
• Ayesha Tabassom
• Samy S Tadros, PT
• Dorey L. Taggart, A.R.N.P.
• Mari Takeda, DMD
• Erin Taliaferro, PT, DPT
• Cemiyah Talton
• Amanda Tam
• Tamara Johnson

• Nursing Care Agency in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.