Organization
CHECKMATE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LEON WATSON SR. (PRESIDENT)
(786) 344-5284
Entity
Organization
Contact information
Practice address
2753 STARDUST CT, CT#9, JACKSONVILLE, FL 32211-2808
(786) 344-5284
Mailing address
2753 STARDUST CT, CT #9, JACKSONVILLE, FL 32211-2808
(786) 344-5284
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
616231
FL
261QH0100X
Health Service Clinic/Center
616231
FL
261QU0200X
Urgent Care Clinic/Center
616231
FL
305R00000X
Preferred Provider Organization
616231
FL
332BC3200X
Customized Equipment (DME)
Primary
616231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
616231
LPN NURSE
FL
Enumeration date
12/07/2010
Last updated
12/07/2010
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