JCJTAM LLC. NPI 1255036299

NPI Information

NPI: 1255036299
Provider Name: JCJTAM, LLC.
Classification: General Practice - 208D00000X
Entity Type: Organization
:
Address: 16703 EARLY RISER AVE STE 287
LAND O LAKES, FL
ZIP 34638
Phone: (844) 387-2476

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NPI Details

JCJTAM, LLC. is a general practice in Land O Lakes, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee JCJTAM, LLC. NPI is 1255036299. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

16703 EARLY RISER AVE STE 287
LAND O LAKES, FL
ZIP 34638-192
Phone: (844) 387-2476
Fax: (844) 387-2476

The provider's authorized official is William Alvarez .
The authorized official title is Authorized Official and has the following contact phone number (800) 931-6086.

The enumeration date for this NPI number is 3/31/2023 and was last updated on 8/15/2025.

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	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
2	101YM0800X	Counselor	Mental Health	No
3	111N00000X	Chiropractor		No
4	207LP2900X	Anesthesiology	Pain Medicine	No
5	207X00000X	Orthopaedic Surgery		No
6	2084P0800X	Psychiatry & Neurology	Psychiatry	No
7	208VP0014X	Pain Medicine	Interventional Pain Medicine	No
8	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
9	208D00000X	General Practice		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RV192	OTHER	FLORIDA	GROUP MEDICARE NUMBER
2	119675800	MEDICAID	FLORIDA
3	ME108549	OTHER	FLORIDA	LICENSE NUMBER

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: 11/21/2025

NPI Synchronization or Removal

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