| JL Gran Services, Inc | |
|
3435 Westwood Dr Titusville FL 32796 | |
| (754) 234-1184 | |
| (321) 445-4757 |
| Full Name | JL Gran Services, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 3435 Westwood Dr, Titusville, Florida |
| Authorized Official Name and Position | Jorge L Miro (PRESIDENT) |
| Authorized Official Contact | 7542341184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| JL Gran Services, Inc 3435 Westwood Dr Titusville FL 32796 Ph: (754) 234-1184 | JL Gran Services, Inc 3435 Westwood Dr Titusville FL 32796 Ph: (754) 234-1184 |
| NPI Number | 1356575427 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 05/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356575427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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