Healthcare Provider Details

I. General information

NPI: 1649620733
Provider Name (Legal Business Name): JNM SENIOR SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 06/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5178 DR PHILLIPS BLVD
ORLANDO FL
32819-3312
US

IV. Provider business mailing address

5178 DR PHILLIPS BLVD
ORLANDO FL
32819-3312
US

V. Phone/Fax

Practice location:
  • Phone: 407-232-7155
  • Fax:
Mailing address:
  • Phone: 407-232-7155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number299994419
License Number StateFL

VIII. Authorized Official

Name: MR. JAMES PASQUINELLI
Title or Position: PRESIDENT / OWNER
Credential:
Phone: 407-232-7155