Healthcare Provider Details

I. General information

NPI: 1811793102
Provider Name (Legal Business Name): JMRX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 TUSKAWILLA RD STE 1001
WINTER SPRINGS FL
32708-5032
US

IV. Provider business mailing address

1295 TUSKAWILLA RD STE 1001
WINTER SPRINGS FL
32708-5032
US

V. Phone/Fax

Practice location:
  • Phone: 407-725-7200
  • Fax:
Mailing address:
  • Phone: 407-725-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: VIRENKUMAR B PATEL
Title or Position: OWNER
Credential:
Phone: 407-725-7200