JIROMA, INC


Address: 1080 Edgewood Ave S, Suite 7, Jacksonville, FL 32205-5393
Phone: 9043849007

JIROMA, INC (NPI# 1265749428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265749428
Entity Type Organization
Organization Name JIROMA, INC
Practice Address 1080 Edgewood Ave S
Suite 7
Jacksonville
FL 32205-5393
Mailing Address Po Box 380104
Jacksonville
FL 32205-0604
Practice Telephone 9043849007
Practice Fax Number 9043842899
Mailing Telephone 9043849007
Enumeration Date 2010-09-09
Last Update Date 2013-06-19
Authorized Official Name MR. JAMES CARLTON WHITED JR. (PRESIDENT)
Authorized Official Telephone 9043849007
Authorized Official Credential ARNP, BC, LMT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WR0400X Registered Nurse
Specialization: Rehabilitation
9279002 FL Nursing Service Providers
N 174H00000X Health Educator 9279002 FL Other Service Providers
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
9279002 FL Ambulatory Health Care Facilities
Y 363LF0000X Nurse Practitioner
Specialization: Family
9279002 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1080 EDGEWOOD AVE S
SUITE 7
City JACKSONVILLE
State FL
Zip Code 32205-5393

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1649877200 Shalom Barile Nurse Practitioner 1377 Ingleside Ave, Jacksonville, FL 32205-7733 2020-10-07
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1063029577 Erica Francisca Andrade Nurse Practitioner 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 2020-09-29
1568078418 Jennifer Ruth Woodard Nurse Practitioner 29 Trinity Way, Jacksonville, AL 36265-5813 2020-09-16
1013522309 William David Michal Nurse Practitioner 4417 Chippewa Dr, Jacksonville, FL 32210-6006 2020-09-13
1063025906 Fabiola Baptiste Nurse Practitioner 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 2020-08-29
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Competitor

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City JACKSONVILLE
Zip Code 32205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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