MJ Medical Transport Inc

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

MJ MEDICAL TRANSPORT INC

Practice address

7352 Hielo Dr
Jacksonville, FL 32211-4218

Phone

(904) 525-5627

NPI assigned

Nov 7, 2019

Organization subpart

No

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

Authorized official

Name

Michel Fundora

Title

Owner

Phone

(904) 525-5627

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1760027387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7352 HIELO DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322114218",
            "telephone_number": "904-525-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7352 HIELO DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322114218",
            "telephone_number": "904-525-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ MEDICAL TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "FUNDORA",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-525-5627"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Transportation Broker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Transportation Broker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.