| Jcjtam, Llc. | |
|
16703 Early Riser Ave Ste 287 Land O Lakes FL 34638-0192 | |
| (844) 387-2476 | |
| (844) 387-2476 |
| Full Name | Jcjtam, Llc. |
|---|---|
| Speciality | General Practice |
| Location | 16703 Early Riser Ave Ste 287, Land O Lakes, Florida |
| Authorized Official Name and Position | William Alvarez (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8009316086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jcjtam, Llc. 110 16th St Ste 1400 Denver CO 80202-5275 Ph: (844) 387-2476 | Jcjtam, Llc. 16703 Early Riser Ave Ste 287 Land O Lakes FL 34638-0192 Ph: (844) 387-2476 |
| NPI Number | 1255036299 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 06/11/2026 |
| Certification Date | 06/11/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255036299 | NPI | - | NPPES |
| RV192 | Other | FL | GROUP MEDICARE NUMBER |
| 119675800 | Medicaid | FL | |
| ME108549 | Other | FL | LICENSE NUMBER |
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