Organization · Type 2 NPI

Shands Jacksonville Medical Center Inc

Durable Medical Equipment & Medical Supplies · Jacksonville, FL

NPI number 1073604914 Active

Practice location

580 W 8th St # 2
Jacksonville, FL 32209-6533

Call (904) 244-9162 Map

Fax (904) 244-9166

Mailing address

655 W 8th St
Jacksonville, FL 32209-6511

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	PH21850 (FL)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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NPI record

NPI: 1073604914
Entity type: Organization (Type 2)
Issued: Sep 27, 2006
Last updated: Jul 22, 2024
Status: Active
Subpart: Yes of Shands Jacksonville Medical Center, Inc.

Other names

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Shands Jacksonville Plaza Pharmacy · doing business as

Authorized official

Mr. Michael E Gleason
VP of Finance and Treasurer
(904) 244-8675

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073604914

Shands Jacksonville Medical Center Inc's National Provider Identifier is 1073604914, issued on Sep 27, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 22, 2024.