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NPI Code Detail

MEDICARE: J AND C HELATH CLINIC, INC

MEDICARE: J AND C HELATH CLINIC, 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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1669892394
Entity Type Code : Organization
Provider Name (Legal Business Name) : J AND C HELATH CLINIC, INC
Provider Business Mailing Address
First Line : 8060 NW 155TH ST STE 100
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33016-5883
Country : US
Telephone Number : 305-819-2439
Fax Number :
Provider Business Practice Location Address
First Line : 8060 NW 155TH ST STE 100
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33016-5883
Country : US
Telephone Number : 305-819-2439
Fax Number :
Authorized Official
Title or Position : ADMINISTRATION
Name : ELYAM MUNOZ
Credential :
Telephone Number : 305-819-2439
Provider Enumeration Date : 04/21/2014
Last Update Date : 04/21/2014

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Directions to “J AND C HELATH CLINIC, INC ” Practice Location

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