Action Disability Resources

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1735590000 Issued in FL

Legal business name

ACTION DISABILITY RESOURCES

Practice address

5609 Timuquana Rd
Jacksonville, FL 32210-8054

Phone

(904) 777-1979

Fax

(904) 771-0150

NPI assigned

Oct 23, 2007

Last updated

Jan 7, 2009By 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

Mr. Jack Edward Ruiz

Title

Owner

Phone

(904) 777-1979

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1821287160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 TIMUQUANA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108054",
            "telephone_number": "904-777-1979",
            "fax_number": "904-771-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 TIMUQUANA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108054",
            "telephone_number": "904-777-1979",
            "fax_number": "904-771-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION DISABILITY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-777-1979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1735590000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.