Healthcare Provider Details

I. General information

NPI: 1487563763
Provider Name (Legal Business Name): JS MAC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N TAMPA ST STE 1550 PMB 365747
TAMPA FL
33602-4719
US

IV. Provider business mailing address

400 N TAMPA ST STE 1550 PMB 365747
TAMPA FL
33602-4719
US

V. Phone/Fax

Practice location:
  • Phone: 813-200-7754
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JONATHAN SCHIRRIPA
Title or Position: FOUNDER
Credential: MD
Phone: 813-200-7754