Provider Demographics
NPI:1447567854
Name:PARTNERS IN HEALTHCARE
Entity Type:Organization
Organization Name:PARTNERS IN HEALTHCARE
Other - Org Name:BODY & MIND HEALTH CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN RONY
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN MARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-462-0311
Mailing Address - Street 1:1806 NW 19TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33311-3535
Mailing Address - Country:US
Mailing Address - Phone:954-462-0311
Mailing Address - Fax:954-462-1023
Practice Address - Street 1:1806 NW 19TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-3535
Practice Address - Country:US
Practice Address - Phone:954-462-0311
Practice Address - Fax:954-462-1023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99092207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty