| Jwh Miami Lakes I, Llc | |
|
16320 Nw 59 Ave Miami Lakes FL 33014-6879 | |
| (305) 557-1212 | |
| Not Available |
| Full Name | Jwh Miami Lakes I, Llc |
|---|---|
| Speciality | General Practice |
| Location | 16320 Nw 59 Ave, Miami Lakes, Florida |
| Authorized Official Name and Position | Justo L Pozo (PRESIDENT) |
| Authorized Official Contact | 3056147740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jwh Miami Lakes I, Llc 9100 S Dadeland Blvd Ste 1400 Miami FL 33156-7816 Ph: (305) 614-7740 | Jwh Miami Lakes I, Llc 16320 Nw 59 Ave Miami Lakes FL 33014-6879 Ph: (305) 557-1212 |
| NPI Number | 1164044293 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 03/18/2025 |
| Medicare PECOS PAC ID | 1153736186 |
|---|---|
| Medicare Enrollment ID | O20210224001722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164044293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Gregory S Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497789804 PECOS PAC ID: 5092794776 Enrollment ID: I20100216000719 |
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