Healthcare Provider Details

I. General information

NPI: 1598975195
Provider Name (Legal Business Name): MEJ BREASTFEEDING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 NW 42ND ST
MIAMI FL
33127-2855
US

IV. Provider business mailing address

144 NW 42ND STREET OR PO BOX 370534, MIAMI FLORIDA, 33137-0534
MIAMI FL
33127
US

V. Phone/Fax

Practice location:
  • Phone: 786-473-3568
  • Fax: 305-573-4268
Mailing address:
  • Phone: 786-473-3568
  • Fax: 305-573-4268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number10218263
License Number StateFL

VIII. Authorized Official

Name: PROF. MERRITT E JAMES
Title or Position: PRESIDENT
Credential: BA, IBCLC
Phone: 786-473-3568