Healthcare Provider Details

I. General information

NPI: 1275019515
Provider Name (Legal Business Name): AJ&ND CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2018
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9350 SW 72ND ST STE 116
MIAMI FL
33173-3245
US

IV. Provider business mailing address

9350 SW 72ND ST STE 116
MIAMI FL
33173-3245
US

V. Phone/Fax

Practice location:
  • Phone: 305-992-9768
  • Fax:
Mailing address:
  • Phone: 786-372-3195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LETICIA C ROMEO
Title or Position: OWNER
Credential:
Phone: 305-992-9768