JMJ FAMILY PRACTICE INC NPI 1295828887

NPI Information

NPI: 1295828887
Provider Name: JMJ FAMILY PRACTICE INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D1046032

Address:
300 N. JOHN YOUNG PKWY
KISSIMMEE, FL
ZIP 34741
Phone: (407) 935-9012
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JMJ FAMILY PRACTICE INC is a primary care clinic center in Kissimmee, FL. JMJ FAMILY PRACTICE INC NPI is 1295828887. The provider is registered as an organization entity type.

The provider's business location address is:

300 N. JOHN YOUNG PKWY
KISSIMMEE, FL
ZIP 34741
Phone: (407) 935-9012
Fax: (407) 935-9108

The provider's authorized official is Jose Ramon Fernandez .
The authorized official title is Medical Doctor / Owner and has the following contact phone number (407) 935-9012.

The CLIA number assigned to this NPI record is 10D1046032 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 9/12/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 4/28/2024

NPI Synchronization or Removal

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