# JAX RX INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992977029
- **Authorized official:** MRS. DAWN M HENNESSEY MSPT (PRESIDENT)
- **Authorized official phone:** (904) 994-8524

## Contact information

- **Practice address:** 1174 BEACH AVE, ATLANTIC BEACH, FL 32233
- **Practice address phone:** (904) 994-8524
- **Practice address fax:** (904) 246-9503
- **Mailing address:** 1174 BEACH AVENUE, ATLANTIC BEACH, FL 32233
- **Mailing address phone:** (904) 994-8524
- **Mailing address fax:** (904) 246-9503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 148107 | FL | Yes |

## Other

- **Enumeration date:** 03/28/2008
- **Last updated:** 07/14/2008