MEDICARE: D&R INNOVATIVE SOLUTIONS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	342000000X	Transportation Network Company
3	347C00000X	Private Vehicle
4	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1215795547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D&R INNOVATIVE SOLUTIONS

Provider Business Mailing Address
First Line	:	6625 ARGYLE FOREST BLVD STE 4
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-6126
Country	:	US
Telephone Number	:	904-894-4114
Fax Number	:

Provider Business Practice Location Address
First Line	:	6625 ARGYLE FOREST BLVD STE 4
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-6126
Country	:	US
Telephone Number	:	904-894-4114
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DOMAIN OMEILIO THOMAS
Credential	:
Telephone Number	:	904-894-4114

Provider Enumeration Date	:	03/11/2024
Last Update Date	:	03/11/2024

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Directions to “D&R INNOVATIVE SOLUTIONS ” Practice Location

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