JAX HEALTHCARE LLC
NPI 1174356554
Nurse Practitioner - Family in Jacksonville, FL
About Jax Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAX HEALTHCARE LLC (NPI 1174356554) is a healthcare organization registered as a family in Jacksonville, Florida and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Yuriel Gonzalez Exposito, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2325967
Jax Healthcare LLC · Jacksonville, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jax Healthcare LLC's NPI number?
The NPI number for Jax Healthcare LLC is 1174356554. It was assigned to this organization in the NPPES registry on August 21, 2024.
Where is Jax Healthcare LLC located?
Jax Healthcare LLC is located at 11512 Lake Mead Ave Unit 702, Jacksonville, FL 32256. The listed phone number is (904) 586-2527.
What is Jax Healthcare LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Jax Healthcare LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2325967) is associated with this NPI, valid through June 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jax Healthcare LLC was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jax Healthcare Llc · NPI 1174356554
Family organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since August 21, 2024.
## Identity
- **NPI:** 1174356554 (Entity type: Organization)
- **Enumerated:** August 21, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Yuriel Gonzalez Exposito, OWNER
## Practice location
- **Address:** 11512 LAKE MEAD AVE UNIT 702, Jacksonville, FL 32256-9681
- **Phone:** (904) 586-2527
## Record status
- **NPPES last updated:** May 7, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174356554) · Data from the CMS NPPES public registry.