Organization
JENCARE NEIGHBORHOOD MEDICAL SHOCKOE BOTTOM, LLC
Active
Other names
JenCare Neighborhood Medical Shockoe Bottom
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CHEN (AUTHORIZED OFFICIAL)
(305) 831-4722
Entity
Organization
Contact information
Practice address
1712 E BROAD ST, RICHMOND, VA 23223-6930
(804) 644-0059
Mailing address
1395 NW 167TH ST, MIAMI, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
06/02/2011
Last updated
10/31/2024
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