Healthcare Provider Details

I. General information

NPI: 1316767916
Provider Name (Legal Business Name): JLM INVEST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2024
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8410 W FLAGLER ST STE 210
MIAMI FL
33144-2000
US

IV. Provider business mailing address

8410 W FLAGLER ST STE 210
MIAMI FL
33144-2000
US

V. Phone/Fax

Practice location:
  • Phone: 305-701-1085
  • Fax: 305-701-1086
Mailing address:
  • Phone: 305-701-1085
  • Fax: 305-701-1086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. LUIS MANUEL GOMEZ HERNANDEZ
Title or Position: NURSE PRACTITIONER IN CHARGE
Credential: APRN
Phone: 786-578-3797