# JWH MIAMI LAKES II, LLC

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

## Provider details

- **NPI number:** 1750632972
- **Authorized official:** MR. DAIMILSIS SALGADO (DIRECTOR OF PROVIDER RELATIONS)
- **Authorized official phone:** (305) 614-7740

## Contact information

- **Practice address:** 16320 NW 59 AVE, MIAMI LAKES, FL 33014
- **Practice address phone:** (305) 558-1444
- **Practice address fax:** (305) 558-9578
- **Mailing address:** 9100 S DADELAND BLVD STE 1400, MIAMI, FL 33156-7816
- **Mailing address phone:** (305) 614-7740
- **Mailing address fax:** (305) 558-9578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | OS004878 | FL | Yes |

## Other

- **Enumeration date:** 09/27/2012
- **Last updated:** 08/08/2025