OrganizationActive
Shands Jacksonville Medical Center Inc
NPI 1073604914 · Durable Medical Equipment & Medical Supplies · Jacksonville, FL
Provider details
- NPI number
- 1073604914
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Shands Jacksonville Medical Center, Inc.
- Organization subpart
- Yes
- Authorized official
- Michael Gleason, Vp of Finance and Treasurer(904) 244-8675
- License
- PH21850 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
580 W 8th St # 2
Jacksonville, FL 32209-6533
Phone: (904) 244-9162
Fax: (904) 244-9166
Street-level locationGet directions
Mailing address
655 W 8th St
Jacksonville, FL 32209-6511
Other names (DBA / former)
- Doing business as
- Shands Jacksonville Plaza Pharmacy
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2024-07-22
- Certified
- 2024-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.