Organization
JENCARE NEIGHBORHOOD MEDICAL METAIRIE, LLC
Active
Parent organization
PMR LA HOLDING, LLC
Other names
JenCare Neighborhood Medical Metairie#2
Organization subpart
Yes
Provider details
NPI number
Legal business name
PMR LA HOLDING, LLC
Authorized official
GORDON L CHEN M.D. (OFFICER)
(305) 628-6117
Entity
Organization
Contact information
Practice address
3530 HOUMA BOULEVARD, JENCARE NEIGHBORHOOD MEDICAL METAIRIE #2, METAIRIE, LA 70006
(305) 628-6117
(305) 831-4408
Mailing address
1395 N.W. 167TH STREET, MIAMI GARDENS, FL 33169
(305) 628-6117
(305) 831-4408
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
333600000X
Pharmacy
Primary
PHY.007546-IR
LA
Other
Enumeration date
08/07/2017
Last updated
04/10/2018
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