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MRS. JADE MARIE MEDDERS EMT-B
NPI 1750626172
Emergency Medical Technician, Basic in Port Orange, FL

Active since December 11, 2012
725 DUNLAWTON AVE, #291938, PORT ORANGE, FL 32129(386) 562-4070(386) 492-6941 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Jade Marie Medders Emt-b NPPES

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

MRS. JADE MARIE MEDDERS EMT-B (NPI 1750626172) is an individual emergency medical technician, basic provider in Port Orange, Florida, licensed in Florida (EMT509305) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1750626172
Entity TypeIndividualFemale
Primary Taxonomy146N00000X
Provider Legal NameMRS. JADE MARIE MEDDERSCredential: EMT-B
Location Address725 DUNLAWTON AVE, #291938Port Orange, FL 32129-7001
Mailing AddressPo Box 291938Port Orange, FL 32129-1938 · (386) 562-4070 · Fax (386) 760-0532
Phone(386) 562-4070
Fax(386) 492-6941
Sole ProprietorYes
Enumeration DateDecember 11, 2012
Last NPPES UpdateOctober 4, 2016
✔ NPI 1750626172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
License✔ Licensed in FL · EMT509305
Definition

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Also ListedPharmacy TechnicianTaxonomy 183700000X · License 280101040340690 (DC)
725 DUNLAWTON AVE, Port Orange, FL 32129
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Frequently Asked Questions

What is Jade Medders's NPI number?

The NPI number assigned to this healthcare provider is 1750626172, enumerated as an "individual" on December 11, 2012.

Where is the provider located?

The provider is located at 725 DUNLAWTON AVE #291938 PORT ORANGE, FL 32129 and the phone number is (386) 562-4070.

What is the provider's specialty?

Emergency Medical Technician, Basic with taxonomy code 146N00000X.