Healthcare Provider Details

I. General information

NPI: 1164347621
Provider Name (Legal Business Name): JRP MEDICAL TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6816 SW 22ND ST
MIRAMAR FL
33023-2714
US

IV. Provider business mailing address

6816 SW 22ND ST
MIRAMAR FL
33023-2714
US

V. Phone/Fax

Practice location:
  • Phone: 786-720-9770
  • Fax: 786-720-9770
Mailing address:
  • Phone: 786-720-9770
  • Fax: 786-720-9770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JHONNYSE PIERRE
Title or Position: MANAGING MEMBER
Credential:
Phone: 786-720-9770