Healthcare Provider Details

I. General information

NPI: 1174371223
Provider Name (Legal Business Name): JMPO CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 174TH ST APT M19
SUNNY ISLES BEACH FL
33160-3380
US

IV. Provider business mailing address

290 174TH ST APT M19
SUNNY ISLES BEACH FL
33160-3380
US

V. Phone/Fax

Practice location:
  • Phone: 786-508-5968
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARCO ORIANO
Title or Position: OWNER
Credential:
Phone: 786-508-5968