JDPREMIUM HEALTHCARE LLC NPI 1538557608

NPI Information

JDPREMIUM HEALTHCARE, LLC is a family medicine in Pensacola, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JDPREMIUM HEALTHCARE, LLC NPI is 1538557608. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14 W JORDAN ST STE 1J
PENSACOLA, FL
ZIP 32501-734
Phone: (850) 455-1252
Fax: (844) 683-8754

The provider's authorized official is Ladaysha L Jackson .
The authorized official title is Ceo and has the following contact phone number (850) 455-1252.

The CLIA number assigned to this NPI record is 10D2093396 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/24/2014 and was last updated on 10/7/2020.

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:

Other Identifiers

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