Healthcare Provider Details

I. General information

NPI: 1497519854
Provider Name (Legal Business Name): HEALTHCARE ALL IN ONE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2024
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14145 SW 119TH AVE
MIAMI FL
33186-6013
US

IV. Provider business mailing address

3531 SW 136TH CT
MIAMI FL
33175-7231
US

V. Phone/Fax

Practice location:
  • Phone: 786-263-3280
  • Fax:
Mailing address:
  • Phone: 786-263-3280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIEV JORGE SIMEON
Title or Position: OWNER
Credential: ARPN
Phone: 786-263-3280