# JMMV PA

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

## Provider details

- **NPI number:** 1669560439
- **Authorized official:** MR. HAN LOBATO (BILLING MANAGER)
- **Authorized official phone:** (305) 238-9199

## Contact information

- **Practice address:** 8370 W FLAGLER ST, SUITE \#222, MIAMI, FL 33144-2094
- **Practice address phone:** (305) 225-4266
- **Practice address fax:** (305) 225-4267
- **Mailing address:** 12930 SW 128TH ST, SUITE 204-A3, MIAMI, FL 33186-6038
- **Mailing address phone:** (305) 238-9199
- **Mailing address fax:** (305) 238-1551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME18675 | FL | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 08/22/2020