Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MEDIVIGIL SENIOR MEDICAL SERVICES FL PA
NPI 1225936586
Rehabilitation Practitioner in Jacksonville, FL

Active since October 27, 2026
200 N LAURA ST, JACKSONVILLE, FL 32202(212) 201-1252 Get Directions Write a Review

NPPES record added: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Medivigil Senior Medical Services Fl Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDIVIGIL SENIOR MEDICAL SERVICES FL PA (NPI 1225936586) is a healthcare organization registered as a rehabilitation practitioner in Jacksonville, Florida and active in the NPI registry since October 2026. The organization lists Azlan Tariq, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225936586
Entity TypeOrganization
Primary Taxonomy225400000X
Legal Business NameMEDIVIGIL SENIOR MEDICAL SERVICES FL PA
Location Address200 N LAURA STJacksonville, FL 32202-3513
Mailing Address407 Willoughby AveBrooklyn, NY 11205-4590 · (212) 201-1252
Organization SubpartNo
Authorized OfficialAzlan TariqCeo · (212) 201-1252
Enumeration DateOctober 27, 2026
NPPES CertifiedOctober 27, 2026
✔ NPI 1225936586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
200 N LAURA ST, Jacksonville, FL 32202

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
200 N LAURA ST
JACKSONVILLE, FL 32202
Physical Medicine & Rehabilitation
200 N LAURA ST
JACKSONVILLE, FL 32202

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 Medivigil Senior Medical Services Fl PA's NPI number?

The NPI number for Medivigil Senior Medical Services Fl PA is 1225936586. It was assigned to this organization in the NPPES registry on October 27, 2026.

Where is Medivigil Senior Medical Services Fl PA located?

Medivigil Senior Medical Services Fl PA is located at 200 N Laura St, Jacksonville, FL 32202. The listed phone number is (212) 201-1252.

What is Medivigil Senior Medical Services Fl PA's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Medivigil Senior Medical Services Fl PA was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.