Healthcare Provider Details

I. General information

NPI: 1225067473
Provider Name (Legal Business Name): J & L MEDICAL CENTER , INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5870 SW 8TH ST STE 3-4
WEST MIAMI FL
33144-5052
US

IV. Provider business mailing address

5870 SW 8TH ST STE 3-4
WEST MIAMI FL
33144-5052
US

V. Phone/Fax

Practice location:
  • Phone: 305-264-1404
  • Fax: 305-264-1599
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MARIA GARAY
Title or Position: OWNER
Credential:
Phone: 305-264-1404