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MEDSPORTS PROMASSAGE
NPI 1932475167
Preferred Provider Organization in Jacksonville, FL

Active since April 02, 2012
3491 PALL MALL DR, SUITE 104, JACKSONVILLE, FL 32257(904) 505-0575 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medsports Promassage NPPES

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

MEDSPORTS PROMASSAGE (NPI 1932475167) is a healthcare organization registered as a preferred provider organization in Jacksonville, Florida and active in the NPI registry since April 2012. The organization lists Monique Coleman Hamid, Owner, as its authorized official.

NPPES Registry Identity

NPI1932475167
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameMEDSPORTS PROMASSAGE
Location Address3491 PALL MALL DR, SUITE 104Jacksonville, FL 32257-5449
Mailing AddressPo Box 8565Fleming Island, FL 32006-0014 · (904) 505-0575
Phone(904) 505-0575
Organization SubpartNo
Authorized OfficialMonique Coleman HamidOwner · (904) 505-0575
Enumeration DateApril 2, 2012
✔ NPI 1932475167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in FL · MA36322
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
3491 PALL MALL DR, Jacksonville, FL 32257
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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 Medsports Promassage's NPI number?

The NPI number for Medsports Promassage is 1932475167. It was assigned to this organization in the NPPES registry on April 2, 2012.

Where is Medsports Promassage located?

Medsports Promassage is located at 3491 Pall Mall Dr Suite 104, Jacksonville, FL 32257. The listed phone number is (904) 505-0575.

What is Medsports Promassage's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Medsports Promassage was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.