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General NPI Number Information
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NPI Number | 1952271942
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Entity Type | Organization
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Legal Business Name | J & J WELLNESS OF PLANTATION, INC
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 455 SW 78TH AVE
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City | PLANTATION
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State | FL
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Zip | 33324-3204
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Country | US
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Telephone | 954-423-1495
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 NE 183RD ST APT 1603
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City | AVENTURA
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State | FL
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Zip | 33160-2593
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Country | US
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Telephone | 954-423-1495
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JASON TODD GOLDSMITH
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Credential |
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Telephone | 305-297-8586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State |
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