Organization
JLM MEDICAL SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MIRTA PLASENCIA MISS (PRESIDENT)
(786) 294-0075
Entity
Organization
Contact information
Practice address
330 SW 27TH AVE, SUITE 703, MIAMI, FL 33135-2961
(786) 294-0075
(786) 360-1634
Mailing address
330 SW 27TH AVE, SUITE 703, MIAMI, FL 33135-2961
(786) 294-0075
(786) 360-1634
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA58262
FL
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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