JM FAMILY ENTERPRISES, INC. (NPI# 1881084390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881084390 |
Entity Type | Organization |
Organization Name | JM FAMILY ENTERPRISES, INC. |
Other Organization Name | PORT HEALTH & WELLNESS CENTER |
Practice Address |
1851 Talleyrand Ave Jacksonville FL 32206-5473 |
Mailing Address |
111 Jim Moran Blvd Deerfield Beach FL 33442-1701 |
Practice Telephone | 9043584450 |
Practice Fax Number | 9043584427 |
Mailing Telephone | 9544292418 |
Mailing Fax Number | 9544292148 |
Enumeration Date | 2015-02-04 |
Last Update Date | 2015-02-04 |
Authorized Official Name | ED BROWN (GROUP VICE PRESIDENT) |
Authorized Official Telephone | 9545963976 |
Is Organization Subpart | Y |
Parent Organization Name | JM FAMILY ENTERPRISES, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Port Health & Wellness Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053701565 | Jm Family Enterprises, Inc. | Clinic/Center | 9985 Pritchard Rd, Jacksonville, FL 32219-2894 | 2015-02-04 |
Street Address |
1851 TALLEYRAND AVE |
City | JACKSONVILLE |
State | FL |
Zip Code | 32206-5473 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760986871 | Nancy Kathryn Vynanek | Registered Nurse | 1851 Talleyrand Ave, Jacksonville, FL 32206-5473 | 2018-03-22 |
1942691498 | Ellen Kohl | Registered Nurse | 1851 Talleyrand Ave, Jacksonville, FL 32206-5473 | 2015-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790275543 | Marvin Victor Sindel IIi | Nurse Practitioner | 1241 E 8th St, Jacksonville, FL 32206 | 2018-05-17 |
1982126553 | Marcia Camille Holloway | In Home Supportive Care | 647 East 31th Street, Jacksonville, FL 32206 | 2017-07-14 |
1407302656 | Tahnita Fleming | Day Training, Developmentally Disabled Services | 1309 Van Buren Street, Jacksonville, FL 32206 | 2016-08-28 |
1912202136 | Bishop Home Care, Inc | Clinic/Center | 1627 E 8th Street, Jacksonville, FL 32206 | 2011-01-19 |
1407183965 | Richard Adam Crosby | Chiropractor | 4211 North Pearl St., Jacksonville, FL 32206 | 2009-11-04 |
1346494903 | Delvenia Renee Mitchell | Specialist | 4515 N Pearl St Apt 2, Jacksonville, FL 32206 | 2008-11-10 |
1962662775 | Curtis Michael Bryant | Radiology | 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 | 2008-06-15 |
1932253879 | Gale Marie Cohen-weiss | Social Worker | Veterans Health System, Jacksonville Outpatient Clinic, 1833 Boulevard, Jacksonville, FL 32206 | 2007-01-22 |
1396817557 | Bella Caimol Ejercito | Internal Medicine | 4608 Norwood Ave, Jacksonville, FL 32206 | 2006-11-14 |
1962584433 | Jessica Ivette Warthen | Pharmacist | 1833 Boluevard, Department of Veterans Affairs; Mental Health Clinic, Jacksonville, FL 32206 | 2006-10-20 |
Find all providers in zip 32206 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1598278707 | Sunbelt Visiting Primary Care LLC | Clinic/Center | 8833 Perimeter Park Blvd Ste 901, Jacksonville, FL 32216-1113 | 2017-11-09 |
1366790404 | Healthy U Medical Clinic LLC | Clinic/Center | 7208 Highway 238, Jacksonville, OR 97530-9131 | 2012-08-21 |
1154696417 | Duc Le Nguyen Md Pa | Clinic/Center | 803 Rosselle St, Jacksonville, FL 32204-2943 | 2012-03-19 |
1265704530 | Paul D. Zawatsky, Md, Pa | Clinic/Center | 10609 Old Saint Augustine Rd, Suite 4, Jacksonville, FL 32257-1164 | 2012-02-02 |
1619287182 | Down East Family Medicine, Pllc | Clinic/Center | 306 Brynn Marr Road, Jacksonville, NC 28546-7023 | 2010-10-18 |
1194033043 | Peoples Medical Centers Primary Care Inc | Clinic/Center | 4114 Sunbeam Rd Ste 102, Jacksonville, FL 32257-8870 | 2010-09-14 |
1669797700 | Goshen Medical Center Incorporated | Clinic/Center | 1200 Hargett St, Jacksonville, NC 28540-5933 | 2010-04-01 |
1326274085 | North Main Medical-imeson Park,pa | Clinic/Center | 5212 N Pearl St, Jacksonville, FL 32208-5118 | 2009-06-08 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32206 |
Please comment or provide details below to improve the information on JM FAMILY ENTERPRISES, INC..
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.