Healthcare Provider Details

I. General information

NPI: 1780412163
Provider Name (Legal Business Name): 305 STITCHES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 NE 1ST AVE STE 305
MIAMI FL
33137-4295
US

IV. Provider business mailing address

3470 E COAST AVE APT H911
MIAMI FL
33137-4193
US

V. Phone/Fax

Practice location:
  • Phone: 617-680-5047
  • Fax:
Mailing address:
  • Phone: 617-680-5047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: MS. MARIA C JARAMILLO
Title or Position: DIRECTOR/CEO
Credential:
Phone: 617-680-5047