MEDICARE: JP HEALTH SOLUTION CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1003629783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JP HEALTH SOLUTION CORP

Provider Business Mailing Address
First Line	:	4655 SW 94TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-5853
Country	:	US
Telephone Number	:	786-499-0346
Fax Number	:

Provider Business Practice Location Address
First Line	:	4655 SW 94TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-5853
Country	:	US
Telephone Number	:	786-499-0346
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JENNY PARRA
Credential	:
Telephone Number	:	786-499-0346

Provider Enumeration Date	:	01/28/2025
Last Update Date	:	01/28/2025

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Directions to “JP HEALTH SOLUTION CORP ” Practice Location

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