Healthcare Provider Details

I. General information

NPI: 1154374031
Provider Name (Legal Business Name): J & S MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8150 SW 8TH ST SUITE 205
MIAMI FL
33144-4263
US

IV. Provider business mailing address

8150 SW 8TH ST SUITE 205
MIAMI FL
33144-4263
US

V. Phone/Fax

Practice location:
  • Phone: 305-267-1552
  • Fax: 305-267-1580
Mailing address:
  • Phone: 305-267-1552
  • Fax: 305-267-1580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number68-6830
License Number StateFL

VIII. Authorized Official

Name: MS. MAYTE GONZALEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-267-1552