Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacksonville Medical Professional Services LLC

Organization Anesthesiology Physician · NPI 1073731774

Jacksonville Medical Professional Services LLC is an Anesthesiology Physician in Jacksonville, Alabama. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1701 Pelham Rd S
Jacksonville, AL 36265-3353
Phone: (256) 820-5244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X
Anesthesiology Physician Taxonomy 207L00000X
Internal Medicine Physician Taxonomy 207R00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1073731774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official V Flinn — Vp · (214) 473-3773
NPI enumeratedApril 20, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1701 Pelham Rd S, Jacksonville, AL 36265-3353

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