Provider Demographics
NPI:1659133130
Name:JEBNET WELLNESS & HEALTHCARE LLC
Entity Type:Organization
Organization Name:JEBNET WELLNESS & HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANAY
Authorized Official - Middle Name:
Authorized Official - Last Name:PUNTONET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-239-5467
Mailing Address - Street 1:5831 SW 109TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1273
Mailing Address - Country:US
Mailing Address - Phone:786-239-5467
Mailing Address - Fax:
Practice Address - Street 1:5831 SW 109TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-1273
Practice Address - Country:US
Practice Address - Phone:786-239-5467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty