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General NPI Number Information
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NPI Number | 1316767916
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Entity Type | Organization
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Legal Business Name | JLM INVEST LLC
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 8410 W FLAGLER ST STE 210
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City | MIAMI
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State | FL
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Zip | 33144-2000
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Country | US
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Telephone | 305-701-1085
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Fax | 305-701-1086
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Provider Business Mailing Address
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Address Line | 8410 W FLAGLER ST STE 210
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City | MIAMI
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State | FL
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Zip | 33144-2000
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Country | US
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Telephone | 305-701-1085
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Fax | 305-701-1086
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Authorized Official
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Title or Position | NURSE PRACTITIONER IN CHARGE
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Name | MR. LUIS MANUEL GOMEZ HERNANDEZ
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Credential | APRN
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Telephone | 786-578-3797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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