Provider Demographics
NPI:1447594452
Name:JV SUPERIOR SERVICES, INC.
Entity Type:Organization
Organization Name:JV SUPERIOR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-503-1817
Mailing Address - Street 1:8567 CORAL WAY
Mailing Address - Street 2:# 118
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2335
Mailing Address - Country:US
Mailing Address - Phone:786-503-1817
Mailing Address - Fax:
Practice Address - Street 1:8567 CORAL WAY
Practice Address - Street 2:# 118
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2335
Practice Address - Country:US
Practice Address - Phone:786-503-1817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty