Provider Demographics
NPI:1043680648
Name:JAX SLEEP SOLUTIONS LLC
Entity Type:Organization
Organization Name:JAX SLEEP SOLUTIONS LLC
Other - Org Name:JEFFREY B SCHULTZ DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:904-476-0973
Mailing Address - Street 1:9310 OLD KINGS RD S
Mailing Address - Street 2:SUITE 601
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-6152
Mailing Address - Country:US
Mailing Address - Phone:904-737-8081
Mailing Address - Fax:
Practice Address - Street 1:9310 OLD KINGS RD S
Practice Address - Street 2:SUITE 601
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-6152
Practice Address - Country:US
Practice Address - Phone:904-737-8081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-25
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10974122300000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty