Organization Active NPI

Jag Health & Care LLC

  • Primary Care Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1841059771
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JAG HEALTH & CARE LLC
Practice address
3223 Hillsdale LN
Kissimmee, FL 34741-7561
Phone
(407) 201-2576
Fax
(407) 598-5645
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Maria Del Pilar Sanchez Avila, MDNPI 1033133806
Title
Owner
Phone
(407) 520-0066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3223 Hillsdale LN
Kissimmee, FL 34741-7561

Mailing address

9842 Aurea Moss LN
Orlando, FL 32832-6293

Other names 1

  • JAG Health & Care LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240613002193 FL Part B Supplier - Clinic/Group Practice 0446793855 Receives reassigned benefits from 1 practitioner
Practice locations: Kissimmee, FL

National Provider Directory

National Provider Directory

Locations

3223 Hillsdale Ln
Kissimmee, FL 34741
Phone (407) 201-2576

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1841059771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9842 AUREA MOSS LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 HILLSDALE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417561",
            "telephone_number": "407-201-2576",
            "fax_number": "407-598-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAG HEALTH & CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ AVILA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DEL PILAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-520-0066",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAG Health & Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.