| Jwh North Miami I, Llc | |
|
3435 Ne 163rd St North Miami Beach FL 33160-4426 | |
| (305) 947-3700 | |
| (305) 947-9610 |
| Full Name | Jwh North Miami I, Llc |
|---|---|
| Speciality | General Practice |
| Location | 3435 Ne 163rd St, North Miami Beach, Florida |
| Authorized Official Name and Position | Justo L Pozo Iii (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 North Miami I, Llc 2600 S Douglas Rd Ste 400 Coral Gables FL 33134-6134 Ph: (305) 614-4700 | Jwh North Miami I, Llc 3435 Ne 163rd St North Miami Beach FL 33160-4426 Ph: (305) 947-3700 |
| NPI Number | 1992311286 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 09/22/2020 |
| Medicare PECOS PAC ID | 0244646412 |
|---|---|
| Medicare Enrollment ID | O20210312001586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992311286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Gerardo C Perez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1396732038 PECOS PAC ID: 2264404623 Enrollment ID: I20040807000002 |
| Provider Name | Daniel Hekmat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497259279 PECOS PAC ID: 4688923766 Enrollment ID: I20220720002868 |
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