# DE JEANNETTE HEALTHCARE CORP

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

## Provider details

- **NPI number:** 1699661009
- **Authorized official:** JEANNETTE DE LA TORRE (OWNER)
- **Authorized official phone:** (786) 554-2796

## Contact information

- **Practice address:** 15 NW 121ST CT, MIAMI, FL 33182-1309
- **Practice address phone:** (786) 554-2796
- **Practice address fax:** (305) 317-6011
- **Mailing address:** 15 NW 121ST CT, MIAMI, FL 33182-1309
- **Mailing address phone:** (786) 554-2796
- **Mailing address fax:** (305) 317-6011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2025
- **Last updated:** 06/13/2025