MEDICARE: CROWN AGAIN, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1427975390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROWN AGAIN, LLC

Provider Business Mailing Address
First Line	:	7395 QUEENSGATE CIR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32219-3701
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7395 QUEENSGATE CIR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32219-3701
Country	:	US
Telephone Number	:	954-768-3598
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	IRIS WILSON
Credential	:
Telephone Number	:	954-768-3598

Provider Enumeration Date	:	07/01/2026
Last Update Date	:	07/01/2026

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