Healthcare Provider Details

I. General information

NPI: 1962230938
Provider Name (Legal Business Name): JCF MEDICAL SOLUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10480 SW 149TH TER
MIAMI FL
33176-7764
US

IV. Provider business mailing address

10480 SW 149TH TER
MIAMI FL
33176-7764
US

V. Phone/Fax

Practice location:
  • Phone: 786-302-0408
  • Fax:
Mailing address:
  • Phone: 786-302-0408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JUAN CARLOS FERNANDEZ
Title or Position: OWNER
Credential:
Phone: 786-302-0408