Organization
JERNEKY BILLING & CODING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DE MIA LONGCHAMP CCS (BILLING SPECIALIST)
(786) 812-2578
Entity
Organization
Contact information
Practice address
2415 NW 162ND ST, OPA LOCKA, FL 33054-6541
(786) 812-2578
Mailing address
2415 NW 162ND ST, OPA LOCKA, FL 33054-6541
(786) 812-2578
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L525178789180
—
FL
Enumeration date
11/30/2020
Last updated
11/30/2020
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