MAYO CLINIC FLORIDA DME
NPI 1912962101
Durable Medical Equipment & Medical Supplies in Jacksonville, FL

NPI Status: Active since April 19, 2006

Contact Information

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 953-2000
Fax: (904) 953-1768

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 10D0269502
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 02-27-2027

About MAYO CLINIC FLORIDA DME

This page provides the complete NPI Profile along with additional information for Mayo Clinic Florida Dme, a provider established in Jacksonville, Florida operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1912962101 assigned on April 2006. The practitioner's primary taxonomy code is 332B00000X with license number 4438 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Mayo Clinic Florida Dme. The authorized official of this NPI record is Mrs. Mary J Hoffman (Cfo)

NPI
1912962101
Provider Legal Name
MAYO CLINIC FLORIDA
Other Organization Name
MAYO CLINIC FLORIDA DME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4500 SAN PABLO RD S JACKSONVILLE, FL 32224
Location Phone
(904) 953-2000
Location Fax
(904) 953-1768
Mailing Address
4500 SAN PABLO RD S JACKSONVILLE, FL 32224
Mailing Phone
(904) 953-2000
Mailing Fax
(904) 953-1768
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2006
Last Update Date
12-04-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
4438
License State
FL
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MARY J HOFFMAN

Authorized Official Title
CFO
Authorized Official Phone
(904) 953-7395

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5378490001MEDICARE NSC (07)FL 
10-0151MEDICARE ID-TYPE UNSPECIFIED (04)FLMEDICARE NUMBER

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0269502
Facility Type
Independent
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. JEFFREY S. DLOTT
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Mayo Clinic Florida Dme on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for MAYO CLINIC FLORIDA DME

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912962101
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2922186410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 8 + 6 + 4 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1912962101 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023015062MS. KATHERINE ANN LEMASTER LCSW, RN
Individual
Social Worker (Clinical)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 296-3700
1962403964MS. NANCY DALTON CRNA
Individual
Nurse Anesthetist, Certified Registered4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 296-4667
1285621573DR. ROBERT ALLEN GILLHAM JR. M.D.
Individual
Allergy & Immunology4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1831186089DR. GEOFFREY STEVEN GATES M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1750378907DR. THOMAS PATRICK FOX M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1083601231DR. GRETCHEN KAY LIPKE M.D.
Individual
Emergency Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1790772747DR. PHILIP PAUL METZGER M.D.
Individual
Colon & Rectal Surgery4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1316935190DR. SANFORD JOSPEH FINCK M.D.
Individual
Internal Medicine (Critical Care Medicine)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1871582726DR. JAN MARIE LARSON M.D.
Individual
Family Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1437148392DR. JERRY WAYNE SAYRE M.D.
Individual
Family Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1912996877DR. WALTER CLYBURN TAYLOR III M.D.
Individual
Family Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1689663569DR. JAMES SAMUEL SCOLAPIO M.D.
Individual
Internal Medicine (Gastroenterology)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1598754210DR. RONALD ALBERT HINDER M.D.
Individual
Surgery4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1043209778DR. WILLIAM JAMES MAPLES M.D.
Individual
Internal Medicine (Hematology & Oncology)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1578552204DR. SHARON YVETT EZELL GERLACH M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1619966348DR. FRANCOIS LETTE M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1154310886DR. KAY MULLINAX MITCHELL M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1518956192DR. KENNETH GORDON NIX JR. M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1548259138DR. KATHLEEN ALLEN ROWLETT M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1427047018DR. JAMES HANNIS STEWART M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912962101, enumerated in the NPI registry as an "organization" on April 19, 2006

The provider is located at 4500 San Pablo Rd S Jacksonville, Fl 32224 and the phone number is (904) 953-2000

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 10D0269502 for a "independent" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on April 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.