Healthcare Provider Details

I. General information

NPI: 1699217075
Provider Name (Legal Business Name): JETMAPP HEALTHCARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2016
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8358 W OAKLAND PARK BLVD STE 103
SUNRISE FL
33351-7340
US

IV. Provider business mailing address

8358 W OAKLAND PARK BLVD STE 103
SUNRISE FL
33351-7340
US

V. Phone/Fax

Practice location:
  • Phone: 954-395-8440
  • Fax: 305-290-8603
Mailing address:
  • Phone: 954-395-8440
  • Fax: 305-290-8603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9225787
License Number StateFL

VIII. Authorized Official

Name: MYRLENE MIOT-DESMORNES
Title or Position: PROVIDER
Credential: NP
Phone: 954-395-8440