Organization
J.C. MEDICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE MANUEL MARTINEZ (PRESIDENT ADMINSTRATOR)
(305) 463-7797
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE, SUITE 235, DORAL, FL 33166-6556
(305) 463-7797
(305) 463-7787
Mailing address
3900 NW 79TH AVE, SUITE 235, DORAL, FL 33166-6556
(305) 463-7797
(305) 463-7787
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
HCC9773
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC9773
AGENCY FOR HEALTH CARE ADMINISTRATION
FL
Enumeration date
07/12/2012
Last updated
09/11/2014
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