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Organization
JENCARE NEIGHBORHOOD MEDICAL VALLEY STATION, LLC
Active
Organization
JENCARE NEIGHBORHOOD MEDICAL VALLEY STATION, LLC
Active
Other names
JenCare Neighborhood Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CHEN (AUTHORIZED OFFICIAL)
(305) 831-4722
Entity
Organization
Contact information
Practice address
8019 DIXIE HWY, STE 101, LOUISVILLE, KY 40258-1344
(305) 653-1770
(305) 650-0674
Mailing address
1395 NW 167TH ST, MIAMI, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
NULL
Other
Enumeration date
04/06/2012
Last updated
10/31/2024
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