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MEDSPORTS PROMASSAGE NPI 1932475167


NPI Information

NPI: 1932475167
Provider Name: MEDSPORTS PROMASSAGE
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
3491 PALL MALL DR
SUITE 104
JACKSONVILLE, FL
ZIP 32257
Phone: (904) 505-0575
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MEDSPORTS PROMASSAGE is a preferred provider organization in Jacksonville, FL. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. MEDSPORTS PROMASSAGE NPI is 1932475167. The provider is registered as an organization entity type.

The provider's business location address is:

3491 PALL MALL DR
SUITE 104
JACKSONVILLE, FL
ZIP 32257-449
Phone: (904) 505-0575

The provider's authorized official is Monique Coleman Hamid .
The authorized official title is Owner and has the following contact phone number (904) 505-0575.

The enumeration date for this NPI number is 4/2/2012 and was last updated on 4/2/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider OrganizationMA36322FLORIDAYes

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

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