Active NPI
Jag Health & Care LLC
- Primary Care Clinic/Center
- Kissimmee, FL
National Provider Identifier
1841059771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Del Pilar Sanchez Avila, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Physician
- Kissimmee, FL
- NPI 1033133806
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.