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IPS OF JACKSONVILLE LLC
NPI 1417192022
Clinic/Center - Ambulatory Surgical in Bradenton, FL

Active since December 10, 2008
4754 E STATE ROAD 64, BRADENTON, FL 34208(888) 337-3509(941) 328-3997 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2017, Dec 21, 2016 (2 updates tracked since 2016).

About Ips Of Jacksonville Llc NPPES

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

IPS OF JACKSONVILLE LLC (NPI 1417192022) is a healthcare organization registered as an ambulatory surgical in Bradenton, Florida and active in the NPI registry since December 2008. The organization lists Carl R Noback, Member, as its authorized official.

NPPES Registry Identity

NPI1417192022
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameIPS OF JACKSONVILLE LLC
Location Address4754 E STATE ROAD 64Bradenton, FL 34208-9058
Mailing AddressPo Box 864483Orlando, FL 32886-4483 · (888) 337-3509
Phone(888) 337-3509
Fax(941) 328-3997
Organization SubpartNo
Authorized OfficialCarl R NobackMember · (941) 360-1566
Enumeration DateDecember 10, 2008
Last NPPES UpdateJanuary 10, 20172 updates tracked since enumeration
✔ NPI 1417192022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in FL · 1176
4754 E STATE ROAD 64, Bradenton, FL 34208
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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 Ips Of Jacksonville LLC's NPI number?

The NPI number for Ips Of Jacksonville LLC is 1417192022. It was assigned to this organization in the NPPES registry on December 10, 2008.

Where is Ips Of Jacksonville LLC located?

Ips Of Jacksonville LLC is located at 4754 E State Road 64, Bradenton, FL 34208. The listed phone number is (888) 337-3509.

What is Ips Of Jacksonville LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Ips Of Jacksonville LLC was last updated on January 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.