JIROMA INC NPI 1265749428

NPI Information

JIROMA, INC is a family nurse practitioner in Jacksonville, FL. JIROMA, INC NPI is 1265749428. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1080 EDGEWOOD AVE S
SUITE 7
JACKSONVILLE, FL
ZIP 32205-393
Phone: (904) 384-9007
Fax: (904) 384-2899

The provider's authorized official is James Carlton Whited .
The authorized official title is President and has the following contact phone number (904) 384-9007.

The CLIA number assigned to this NPI record is 10D2061553 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/9/2010 and was last updated on 6/19/2013.

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:

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