MEDICARE: JEWISH COMMUNITY SERVICES OF SOUTH FLORIDA, INC.

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	251V00000X	Voluntary or Charitable Agency
2	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588074306
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEWISH COMMUNITY SERVICES OF SOUTH FLORIDA, INC.

Provider Business Mailing Address
First Line	:	7875 SW 104TH ST STE 101
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-2642
Country	:	US
Telephone Number	:	305-670-1911
Fax Number	:	305-670-2049

Provider Business Practice Location Address
First Line	:	610 ESPANOLA WAY
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3969
Country	:	US
Telephone Number	:	305-673-6060
Fax Number	:	305-673-2522

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	SIXTO MONTANO
Credential	:
Telephone Number	:	305-403-6513

Provider Enumeration Date	:	05/01/2014
Last Update Date	:	03/26/2024

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Directions to “JEWISH COMMUNITY SERVICES OF SOUTH FLORIDA, INC. ” Practice Location

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