Organization
JAX PATIENT CARE
Active
Other names
JaxCare Patient Transport, JaxCare
Organization subpart
No
Provider details
NPI number
Authorized official
KEN ELIAS (VP/OWNER)
(904) 309-9902
Entity
Organization
Contact information
Practice address
100 WHARFSIDE WAY # A, JACKSONVILLE, FL 32207-8104
(904) 309-9902
(904) 701-6236
Mailing address
1431 RIVERPLACE BLVD APT 1404, JACKSONVILLE, FL 32207-9101
(404) 664-7216
(904) 701-6236
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
248861
FL
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
248861
FL
Other
Enumeration date
01/20/2015
Last updated
04/21/2020
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