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EAGLE ONE MEDICAL INC. NPI 1215436548


NPI Information

NPI: 1215436548
Provider Name: EAGLE ONE MEDICAL, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
644 CESERY BLVD STE 101
JACKSONVILLE, FL
ZIP 32211
Phone: (904) 647-7150
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EAGLE ONE MEDICAL, INC. is a durable medical equipment medical supplies in Jacksonville, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. EAGLE ONE MEDICAL, INC. NPI is 1215436548. The provider is registered as an organization entity type.

The provider's business location address is:

644 CESERY BLVD STE 101
JACKSONVILLE, FL
ZIP 32211-165
Phone: (904) 647-7150
Fax: (904) 551-2462

The provider's authorized official is Joseph Kelly .
The authorized official title is Owner and has the following contact phone number (904) 647-7150.

The enumeration date for this NPI number is 2/1/2018 and was last updated on 2/1/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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