Provider Demographics
NPI:1114497229
Name:JAZZ HEALTH, INC.
Entity Type:Organization
Organization Name:JAZZ HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-940-6494
Mailing Address - Street 1:2435 US HIGHWAY 19 STE 150
Mailing Address - Street 2:
Mailing Address - City:HOLIDAY
Mailing Address - State:FL
Mailing Address - Zip Code:34691-3908
Mailing Address - Country:US
Mailing Address - Phone:727-940-6494
Mailing Address - Fax:
Practice Address - Street 1:2435 US HIGHWAY 19 STE 150
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34691-3908
Practice Address - Country:US
Practice Address - Phone:727-940-6494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-01
Last Update Date:2018-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies