Provider Type Icon

JET MEDICAL CENTER LLC NPI 1083971360


NPI Information

NPI: 1083971360
Provider Name: JET MEDICAL CENTER LLC
Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

CLIA Number: 10D2041116

Address:
2221 SW 19 AV RD
STE 100
OCALA, FL
ZIP 34471
Phone: (352) 629-9100
Get Directions

JET MEDICAL CENTER LLC is a preventive medicine/occupational environmental medicine preventive medicine in Ocala, FL. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. JET MEDICAL CENTER LLC NPI is 1083971360. The provider is registered as an organization entity type.

The provider's business location address is:

2221 SW 19 AV RD
STE 100
OCALA, FL
ZIP 34471
Phone: (352) 629-9100
Fax: (352) 629-9200

The provider's authorized official is Samer R. Choksi .
The authorized official title is President and has the following contact phone number (352) 203-4408.

The CLIA number assigned to this NPI record is 10D2041116 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2012 and was last updated on 11/14/2023.


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
1261QX0100XClinic/CenterOccupational MedicineME96416FLORIDANo
22083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineME 96416FLORIDAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.