| Jsp Healthcare Llc | |
|
3223 Sw 107th Ct Miami FL 33165-3610 | |
| (305) 717-4754 | |
| Not Available |
| Full Name | Jsp Healthcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3223 Sw 107th Ct, Miami, Florida |
| Authorized Official Name and Position | Jorge Ernesto Sandelis Perez (SOLE OWNER) |
| Authorized Official Contact | 3057174754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jsp Healthcare Llc 3223 Sw 107th Ct Miami FL 33165-3610 Ph: (305) 717-4754 | Jsp Healthcare Llc 3223 Sw 107th Ct Miami FL 33165-3610 Ph: (305) 717-4754 |
| NPI Number | 1083489249 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 11/17/2023 |
| Medicare PECOS PAC ID | 9739537804 |
|---|---|
| Medicare Enrollment ID | O20231129003729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083489249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jorge Ernesto Sandelis Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104351683 PECOS PAC ID: 3476963786 Enrollment ID: I20201027002694 |
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