Provider Demographics
NPI:1467009969
Name:J & J FRANCHISE INC.
Entity Type:Organization
Organization Name:J & J FRANCHISE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDOLLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-228-2708
Mailing Address - Street 1:2201 NE COACHMAN RD STE 201
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-2200
Mailing Address - Country:US
Mailing Address - Phone:727-228-2708
Mailing Address - Fax:727-228-2997
Practice Address - Street 1:2201 NE COACHMAN RD STE 201
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-2200
Practice Address - Country:US
Practice Address - Phone:727-228-2708
Practice Address - Fax:727-228-2997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299994820OtherAHCA LICENSE