Healthcare Provider Details

I. General information

NPI: 1245071596
Provider Name (Legal Business Name): JMRX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
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

2059 WOOD THRUSH LN
WINTER PARK FL
32792-3165
US

V. Phone/Fax

Practice location:
  • Phone: 407-725-7200
  • Fax:
Mailing address:
  • Phone: 848-250-4632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

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