Jax Anesthesia Providers Llc

LBN: Jax Anesthesia Providers Llc
Jax Anesthesia Providers Llc is an health care organization with primary practice located at 4800 Belfort Rd , Jacksonville FL 32256-6004. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Jax Anesthesia Providers Llc can be contacted via phone (904) 483-5850, or through Groover, Jack R via phone (904) 483-5850.

Contact Information

Primary practice address
4800 Belfort Rd Jacksonville FL 32256-6004
Phone: (904) 483-5850
Fax: (904) 483-5860
Website:
Map and Directions
Authorized official contact:
Name: Groover, Jack R Doctor of Medicine (MD)
Phone: (904) 483-5850

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1245271154
LBN Legal business name Jax Anesthesia Providers Llc
DBA Doing business as
Authorized official Groover, Jack R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Jan 12th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245271154 NPPES
Florida MEDICAID 277552200

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