Organization
ACTION DISABILITY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK RUIZ (OWNER/CEO)
(904) 777-1979
Entity
Organization
Contact information
Practice address
5609 TIMUQUANA RD, JACKSONVILLE, FL 32210-8054
(904) 777-1979
(904) 771-0150
Mailing address
5609 TIMUQUANA RD, JACKSONVILLE, FL 32210-8054
(904) 777-1979
(904) 771-0150
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1735580000
FL
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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