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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