# JBM HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003249764
- **Authorized official:** DR. BENJAMIN MORENO MD (OWNER)
- **Authorized official phone:** (863) 512-4385

## Contact information

- **Practice address:** 4898 E IRLO BRONSON MEMORIAL HWY, SAINT CLOUD, FL 34771-8714
- **Practice address phone:** (863) 512-4385
- **Mailing address:** 355 ALLISON AVE, DAVENPORT, FL 33897-5405
- **Mailing address phone:** (863) 512-4385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ACN326 | FL | Yes |

## Other

- **Enumeration date:** 08/16/2013
- **Last updated:** 08/16/2013
