Healthcare Provider Details

I. General information

NPI: 1881697191
Provider Name (Legal Business Name): J & G HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7225 CORAL WAY
MIAMI FL
33155-1401
US

IV. Provider business mailing address

7225 CORAL WAY
MIAMI FL
33155-1401
US

V. Phone/Fax

Practice location:
  • Phone: 305-264-5414
  • Fax: 305-264-5540
Mailing address:
  • Phone: 305-264-5414
  • Fax: 305-264-5540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1187
License Number StateFL

VIII. Authorized Official

Name: RAMON A MOREIRA
Title or Position: CEO
Credential:
Phone: 305-264-5414