Provider Demographics
NPI:1578191870
Name:JF PRIMARY CARE MD PA
Entity Type:Organization
Organization Name:JF PRIMARY CARE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEITES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-274-6422
Mailing Address - Street 1:8200 SW 117TH AVE STE 314
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4826
Mailing Address - Country:US
Mailing Address - Phone:305-274-6422
Mailing Address - Fax:305-274-5707
Practice Address - Street 1:8200 SW 117TH AVE STE 314
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4826
Practice Address - Country:US
Practice Address - Phone:305-274-6422
Practice Address - Fax:305-274-5707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty