JITC
NPI 1508893579
Clinic/Center in Jacksonville, FL

Q: What is Jacksonville Impotence Treatment Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since June 27, 2006

2950 HALCYON LANE, SUITE706, JACKSONVILLE, FL 32223(904) 880-1366(904) 880-8038 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jitc NPPES

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

JITC (NPI 1508893579) is a healthcare organization registered as a clinic/center in Jacksonville, Florida and active in the NPI registry since June 2006. The organization lists Roger James Miller, President., Jitc, as its authorized official.

NPPES Registry Identity

NPI1508893579

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameJACKSONVILLE IMPOTENCE TREATMENT CENTER

Location Address2950 HALCYON LANE, SUITE706Jacksonville, FL 32223

Mailing Address2950 Halcyon Lane, Suite706Jacksonville, FL 32223 · (904) 880-1366 · Fax (904) 880-8038

Phone(904) 880-1366

Fax(904) 880-8038

Organization SubpartNo

Authorized OfficialRoger James MillerPresident., Jitc · (904) 880-1366

Enumeration DateJune 27, 2006

Last NPPES UpdateMarch 31, 2008

✔ NPI 1508893579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in FL · ME0053960

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2950 HALCYON LANE, Jacksonville, FL 32223

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Other Names 1

Doing Business AsJitc

Other Identifiers 2

Medicare PINQ0246FL

Medicare UPINE75880FL

Other Providers at the Same Location NPPES

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

CARMELLA C GARDNER LMHC

Counselor (Mental Health)

2950 HALCYON LANE
JACKSONVILLE, FL 32223

Duval County (904) 292-2407

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 Jacksonville Impotence Treatment Center's NPI number?

The NPI number for Jacksonville Impotence Treatment Center is 1508893579. It was assigned to this organization in the NPPES registry on June 27, 2006. The provider is doing business as Jitc.

Where is Jacksonville Impotence Treatment Center located?

Jacksonville Impotence Treatment Center is located at 2950 Halcyon Lane Suite706, Jacksonville, FL 32223. The listed phone number is (904) 880-1366.

What is Jacksonville Impotence Treatment Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Jacksonville Impotence Treatment Center was last updated on March 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.