Healthcare Provider Details

I. General information

NPI: 1477244911
Provider Name (Legal Business Name): JLJ HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2023
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17918 BRAMSHOT PL
LUTZ FL
33559-3946
US

IV. Provider business mailing address

17918 BRAMSHOT PL
LUTZ FL
33559-3946
US

V. Phone/Fax

Practice location:
  • Phone: 813-875-9900
  • Fax:
Mailing address:
  • Phone: 813-875-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: NATASHA MEHTA
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 813-875-9900