Healthcare Provider Details
I. General information
NPI: 1174640957
Provider Name (Legal Business Name): JHF, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/25/2007
Last Update Date: 02/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1850 S OCEAN BLVD SUITE 211
POMPANO BEACH FL
33062-7921
US
IV. Provider business mailing address
PO BOX 611090
POMPANO BEACH FL
33061-1090
US
V. Phone/Fax
- Phone: 954-785-7882
- Fax: 954-782-4597
- Phone: 954-785-7882
- Fax: 954-782-4597
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 156FX1100X |
| Taxonomy | Ophthalmic Technician/Technologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOHN
H
FOX
Title or Position: PRESIDENT
Credential: C.R.A.
Phone: 954-785-7882