Organization
JMMV PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAN LOBATO (BILLING MANAGER)
(305) 238-9199
Entity
Organization
Contact information
Practice address
8370 W FLAGLER ST, SUITE #222, MIAMI, FL 33144-2094
(305) 225-4266
(305) 225-4267
Mailing address
12930 SW 128TH ST, SUITE 204-A3, MIAMI, FL 33186-6038
(305) 238-9199
(305) 238-1551
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME18675
FL
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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