| Jam Holding Usa Llc | |
|
4000 Hollywood Blvd Ste 547 Hollywood FL 33021-6751 | |
| (352) 262-9036 | |
| Not Available |
| Full Name | Jam Holding Usa Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4000 Hollywood Blvd Ste 547, Hollywood, Florida |
| Authorized Official Name and Position | Malka Livingston (MGR) |
| Authorized Official Contact | 3522629036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jam Holding Usa Llc 3033 Ne 183rd Ln Aventura FL 33160-4905 Ph: (352) 262-9036 | Jam Holding Usa Llc 4000 Hollywood Blvd Ste 547 Hollywood FL 33021-6751 Ph: (352) 262-9036 |
| NPI Number | 1609468289 |
|---|---|
| Provider Enumeration Date | 02/05/2021 |
| Last Update Date | 02/05/2021 |
| Certification Date | 02/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609468289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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