Organization
J & G THERAPEUTICS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS R TENDERO MA (PRESIDENT)
(305) 819-9655
Entity
Organization
Contact information
Practice address
5881 NW 151ST ST, SUITE 106, MIAMI LAKES, FL 33014-2450
(305) 819-0655
(305) 819-0656
Mailing address
5881 NW 151ST ST, SUITE 106, MIAMI LAKES, FL 33014-2450
(305) 819-0655
(305) 819-0656
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC8423
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FILE 8657
AHCA EXEMPT
FL
Enumeration date
10/05/2010
Last updated
10/05/2010
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