MEDICARE: JX MARKETING

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	122300000X	Dentist

General Provider Information

NPI Number	:	1477729531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JX MARKETING

Provider Business Mailing Address
First Line	:	4532 W KENNEDY BLVD
Second Line	:	SUITE 165
City	:	TAMPA
State	:	FL
Zip	:	33609-2042
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4532 W KENNEDY BLVD
Second Line	:	SUITE 165
City	:	TAMPA
State	:	FL
Zip	:	33609-2042
Country	:	US
Telephone Number	:	813-957-7689
Fax Number	:

Authorized Official
Title or Position	:	VP
Name	:	JOSEPH ROBBIO
Credential	:
Telephone Number	:	813-957-7689

Provider Enumeration Date	:	05/07/2008
Last Update Date	:	05/07/2008

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Directions to “JX MARKETING ” Practice Location

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