Provider Demographics
NPI:1003295361
Name:JUMART GROUP INC
Entity Type:Organization
Organization Name:JUMART GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-487-3751
Mailing Address - Street 1:1200 BRICKELL AVE
Mailing Address - Street 2:SUITE 1950
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3214
Mailing Address - Country:US
Mailing Address - Phone:305-487-3751
Mailing Address - Fax:305-723-0257
Practice Address - Street 1:1200 BRICKELL AVE
Practice Address - Street 2:SUITE 1950
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3214
Practice Address - Country:US
Practice Address - Phone:305-487-3751
Practice Address - Fax:305-723-0257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography
No335E00000XSuppliersProsthetic/Orthotic Supplier