Organization
JENCARE NEIGHBORHOOD MEDICAL VALLEY STATION, LLC
Active
Other names
JenCare Neighborhood Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CHEN (AUTHORIZED OFFICIAL)
(305) 831-4722
Entity
Organization
Contact information
Practice address
8019 DIXIE HWY, STE 101, LOUISVILLE, KY 40258-1344
(305) 653-1770
(305) 650-0674
Mailing address
1395 NW 167TH ST, MIAMI, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
04/06/2012
Last updated
10/31/2024
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