Health Point Injury Center, LLC.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC9772 Issued in FL

Legal business name

HEALTH POINT INJURY CENTER, LLC.

Practice address

6817 Southpoint Pkwy
Suite 2303
Jacksonville, FL 32216-6282

Phone

(904) 683-3205

Fax

(904) 683-3384

NPI assigned

Feb 29, 2012

Last updated

Feb 29, 2012By 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. Jessie J De la Pena, LMTNPI 1912234568

Title

Massage Therapy

Phone

(904) 683-3205

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessie Jorge De la Pena, LMT

  • Massage Therapist
  • Jacksonville, FL
  • NPI 1912234568
  Authorized official Same address or phone

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1881968451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY",
            "address_2": "SUITE 2303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166282",
            "telephone_number": "904-683-3205",
            "fax_number": "904-683-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY",
            "address_2": "SUITE 2303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166282",
            "telephone_number": "904-683-3205",
            "fax_number": "904-683-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH POINT INJURY CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "DE LA PENA",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MASSAGE THERAPY",
        "authorized_official_telephone_number": "904-683-3205",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC9772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.