Organization
JENCARE NEIGHBORHOOD MEDICAL HULL ST, LLC
Active
Organization
JENCARE NEIGHBORHOOD MEDICAL HULL ST, LLC
Active
Other names
JenCare Neighborhood Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CHEN (AUTHORIZED OFFICIAL)
(305) 831-4722
Entity
Organization
Contact information
Practice address
6550 HULL STREET RD, RICHMOND, VA 23224-2636
(305) 653-1770
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
05/24/2012
Last updated
02/20/2025
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