Organization
JLM NURSE PRACTITIONERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE LUIS MARTINEZ M.D. (MANAGER)
(305) 822-4107
Entity
Organization
Contact information
Practice address
2140 W 68TH ST, SUITE 305, HIALEAH, FL 33016-1815
(305) 822-4107
(786) 497-2989
Mailing address
2140 W 68TH ST, SUITE 300, HIALEAH, FL 33016-1815
(305) 822-4107
(786) 497-2989
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0065252
FL
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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