National Provider Identifier Database

MEDSPORTS PROMASSAGE
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

MEDSPORTS PROMASSAGE
3491 PALL MALL DR
SUITE 104
JACKSONVILLE, FL32257-5449
Phone: 904-505-0575
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for MEDSPORTS PROMASSAGE

NPI Number 1932475167
Legal business name
LBN
MEDSPORTS PROMASSAGE
Authorized official MONIQUE HAMID - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/02/2012
Last updated 04/02/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: MA36322

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.

Reviews for MEDSPORTS PROMASSAGE

There are currently no reviews for MEDSPORTS PROMASSAGE


NPIdb - Home
v2.201