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Contact Information

GDMJAX LLC
7807 BAYMEADOWS RD E
JACKSONVILLE, FL32256-9664
 Phone: 904-449-7643
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for GDMJAX LLC · (Female)

NPI Number 1881553642
Status Active
Credentials
Entity Individual
Enumeration date 01/19/2026
Last updated 01/19/2026 - About 5 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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