Organization
JP LEGACY FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PAUL APRN (CEO)
(305) 724-6400
Entity
Organization
Contact information
Practice address
20332 NW 2ND AVE, MIAMI, FL 33169-2503
(305) 974-2725
Mailing address
20332 NW 2ND AVE, MIAMI, FL 33169-2503
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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