Healthcare Provider Details

I. General information

NPI: 1669066254
Provider Name (Legal Business Name): JEMA SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2021
Last Update Date: 05/06/2022
Certification Date: 05/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 SW 22ND ST STE 102
MIAMI FL
33145-2748
US

IV. Provider business mailing address

1840 SW 22ND ST STE 102
MIAMI FL
33145-2748
US

V. Phone/Fax

Practice location:
  • Phone: 305-603-9546
  • Fax: 786-364-7121
Mailing address:
  • Phone: 305-603-9546
  • Fax: 786-364-7121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARLENE CANIZALEZ
Title or Position: OWNER
Credential:
Phone: 305-603-9546