Healthcare Provider Details
I. General information
NPI: 1306501499
Provider Name (Legal Business Name): JOOCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/03/2021
Last Update Date: 11/03/2021
Certification Date: 10/15/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
586 NW 27TH STREET
MIAMI FL
33127
US
IV. Provider business mailing address
5640 COLLINS AVE APT 3A
MIAMI BEACH FL
33140-2436
US
V. Phone/Fax
- Phone: 646-283-5485
- Fax: 305-397-2143
- Phone: 646-283-5485
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QI0500X |
| Taxonomy | Infusion Therapy Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARIE
HAREL
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 646-283-5485