Healthcare Provider Details

I. General information

NPI: 1003295361
Provider Name (Legal Business Name): JUMART GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2015
Last Update Date: 07/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 BRICKELL AVE SUITE 1950
MIAMI FL
33131-3214
US

IV. Provider business mailing address

1200 BRICKELL AVE SUITE 1950
MIAMI FL
33131-3214
US

V. Phone/Fax

Practice location:
  • Phone: 305-487-3751
  • Fax: 305-723-0257
Mailing address:
  • Phone: 305-487-3751
  • Fax: 305-723-0257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: JUDITH MARTINEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-487-3751