Healthcare Provider Details

I. General information

NPI: 1891380853
Provider Name (Legal Business Name): PEARLS OF JUNE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2021
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 HOLLYWOOD BLVD STE 204A
HOLLYWOOD FL
33021-6926
US

IV. Provider business mailing address

3325 HOLLYWOOD BLVD STE 204A
HOLLYWOOD FL
33021-6926
US

V. Phone/Fax

Practice location:
  • Phone: 954-505-0784
  • Fax:
Mailing address:
  • Phone: 954-505-0784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: KEMLY VALMYR
Title or Position: ADMINISTRATOR
Credential: FNP-C
Phone: 954-505-0784