| J&j Shine Corp | |
|
8051 N. Tamiami Trail Suite E2, Box 37 Sarasota FL 34243 | |
| (941) 822-8174 | |
| (941) 822-8174 |
| Full Name | J&j Shine Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8051 N. Tamiami Trail, Sarasota, Florida |
| Authorized Official Name and Position | Janell Stallworth (PRESIDENT) |
| Authorized Official Contact | 9418228174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J&j Shine Corp 8051 N. Tamiami Trail Suite E2, Box 37 Sarasota FL 34243 Ph: (941) 822-8174 | J&j Shine Corp 8051 N. Tamiami Trail Suite E2, Box 37 Sarasota FL 34243 Ph: (941) 822-8174 |
| NPI Number | 1386004745 |
|---|---|
| Provider Enumeration Date | 02/29/2016 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386004745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH12905 (Florida) | Primary |
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