| Jlw Healthcare Llc | |
|
10556 Lake Jasmine Dr Boca Raton FL 33498-1616 | |
| (561) 603-1445 | |
| Not Available |
| Full Name | Jlw Healthcare Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10556 Lake Jasmine Dr, Boca Raton, Florida |
| Authorized Official Name and Position | Maria Rivera (OWNER) |
| Authorized Official Contact | 8555415461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jlw Healthcare Llc 3621 N Pacific Coast Cir Lauderdale Lakes FL 33309-2262 Ph: (561) 828-9191 | Jlw Healthcare Llc 10556 Lake Jasmine Dr Boca Raton FL 33498-1616 Ph: (561) 603-1445 |
| NPI Number | 1174169759 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 10/02/2020 |
| Certification Date | 10/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174169759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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