| Juslain Jonathas, | |
| 1021 Health Park Dr, Moore Haven, FL 33471-6206 | |
| (863) 946-0405 | |
| (863) 847-2310 | 
| Full Name | Juslain Jonathas | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Adult Health | 
| Location | 1021 Health Park Dr, Moore Haven, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1538538459 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP9374836 (Florida) | Secondary | 
| 363LA2200X | Nurse Practitioner - Adult Health | ARNP9374836 (Florida) | Primary | 
| Entity Name | Saluscare, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1972557197 PECOS PAC ID: 8325014350 Enrollment ID: O20040909001075 | 
| Entity Name | Millennium Physician Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Juslain Jonathas, 4450 S Tiffany Dr, West Palm Beach, FL 33407-3241 Ph: (561) 844-9443 | Juslain Jonathas, 1021 Health Park Dr, Moore Haven, FL 33471-6206 Ph: (863) 946-0405 | 
| Harry Jean, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Health Park Dr, Moore Haven, FL 33471 Phone: 863-946-0405 | |
| Gloria Rodriguez Rodriguez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1021 Health Park Dr, Moore Haven, FL 33471 Phone: 863-946-0405 Fax: 844-542-8959 | |
| Jennifer Nichole Johnson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 43 Avenue J Sw, Moore Haven, FL 33471 Phone: 863-599-1620 |