Organization Name: | JV ENTERPRISES SERVICES INC |
NPI Number: | 1215100177 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARMANDO PAMPILLO (PRESIDENT/OWNER) |
Mailing Address: | 6501 Nw 36th St Suite 301 Virginia Gardens |
State: | FL US |
Postal Code: | 331666959 |
Phone Number: | 7862650799 |
Fax Number: | 7862650798 |
NPI Enumeration Date: | 04/10/2008 |
NPI Last Update Date: | 04/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | HCC7650 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |