Provider Demographics
NPI:1326026170
Name:JAYMED INC.
Entity Type:Organization
Organization Name:JAYMED INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-448-2350
Mailing Address - Street 1:5846 SOUTH FLAMINGO RD #163
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33330
Mailing Address - Country:US
Mailing Address - Phone:954-889-0001
Mailing Address - Fax:954-889-0003
Practice Address - Street 1:5846 SOUTH FLAMINGO RD #163
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33330
Practice Address - Country:US
Practice Address - Phone:954-448-2350
Practice Address - Fax:954-889-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-03
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV1003OtherBLUE CROSS BLUE SHIELD FL
FLE1510Medicare ID - Type Unspecified
FL=========OtherHUMANA