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General NPI Number Information
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NPI Number | 1457616781
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Entity Type | Organization
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Legal Business Name | J.C. MEDICAL SERVICES INC.
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Dates
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Enumeration Date | 07/12/2012
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Last Update Date | 09/11/2014
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Provider Practice Location Address
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Address Line | 3900 NW 79TH AVE SUITE 235
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City | DORAL
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State | FL
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Zip | 33166-6556
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Country | US
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Telephone | 305-463-7797
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Fax | 305-463-7787
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Provider Business Mailing Address
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Address Line | 3900 NW 79TH AVE SUITE 235
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City | DORAL
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State | FL
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Zip | 33166-6556
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Country | US
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Telephone | 305-463-7797
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Fax | 305-463-7787
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Authorized Official
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Title or Position | PRESIDENT ADMINSTRATOR
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Name | JOSE MANUEL MARTINEZ
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Credential |
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Telephone | 305-463-7797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | HCC9773
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License Number State | FL
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