Healthcare Provider Details

I. General information

NPI: 1386907871
Provider Name (Legal Business Name): JMHS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 06/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14366 CROWBERRY COURT
WELLINGTON FL
33414
US

IV. Provider business mailing address

14366 CROWBERRY CT
WELLINGTON FL
33414-8276
US

V. Phone/Fax

Practice location:
  • Phone: 561-261-7777
  • Fax:
Mailing address:
  • Phone: 561-261-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN9182947
License Number StateFL

VIII. Authorized Official

Name: JILL HUMPHREY SANCHEZ
Title or Position: RN, RNFA
Credential: RNFA
Phone: 561-261-7777