# JDC MED LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Real Medical Altamonte
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003660093
- **Authorized official:** JASON DANIEL CARRAZANA PA-C (OWNER)
- **Authorized official phone:** (407) 920-8337

## Contact information

- **Practice address:** 104 MARCIA DR, ALTAMONTE SPRINGS, FL 32714-2913
- **Practice address phone:** (407) 573-6627
- **Practice address fax:** (407) 378-7755
- **Mailing address:** 104 MARCIA DR, ALTAMONTE SPRINGS, FL 32714-2913
- **Mailing address phone:** (407) 573-6627
- **Mailing address fax:** (407) 378-7755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2024
- **Last updated:** 11/12/2024