Organization
JBM HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN MORENO MD (OWNER)
(863) 512-4385
Entity
Organization
Contact information
Practice address
4898 E IRLO BRONSON MEMORIAL HWY, SAINT CLOUD, FL 34771-8714
(863) 512-4385
Mailing address
355 ALLISON AVE, DAVENPORT, FL 33897-5405
(863) 512-4385
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN326
FL
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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