M&D Provider Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

229601 Issued in FL

Legal business name

M&D PROVIDER SERVICES, INC

Practice address

2627 Carson Oaks Dr
Jacksonville, FL 32221-2879

Phone

(904) 521-2836

Fax

(904) 683-4713

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Deborah M Axle

Title

Homecare Director

Phone

(904) 521-2836

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962561944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 CARSON OAKS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322212879",
            "telephone_number": "904-521-2836",
            "fax_number": "904-683-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 CARSON OAKS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322212879",
            "telephone_number": "904-521-2836",
            "fax_number": "904-683-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&D PROVIDER SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AXLE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "HOMECARE DIRECTOR",
        "authorized_official_telephone_number": "904-521-2836"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "229601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.