| Jls Advaned Practice Llc | |
|
5200 S Sterling Ranch Cir Davie FL 33314-7255 | |
| (954) 600-4502 | |
| Not Available |
| Full Name | Jls Advaned Practice Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5200 S Sterling Ranch Cir, Davie, Florida |
| Authorized Official Name and Position | Jon Storey-petrillo (PRESIDENT) |
| Authorized Official Contact | 9546004502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jls Advaned Practice Llc 5200 S Sterling Ranch Cir Davie FL 33314-7255 Ph: (954) 600-4502 | Jls Advaned Practice Llc 5200 S Sterling Ranch Cir Davie FL 33314-7255 Ph: (954) 600-4502 |
| NPI Number | 1629967153 |
|---|---|
| Provider Enumeration Date | 06/30/2025 |
| Last Update Date | 06/30/2025 |
| Certification Date | 06/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629967153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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