Provider Demographics
NPI:1699217075
Name:JETMAPP HEALTHCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:JETMAPP HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYRLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MIOT-DESMORNES
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:305-333-5938
Mailing Address - Street 1:20451 NW 2ND AVENUE
Mailing Address - Street 2:STE #101
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4568
Mailing Address - Country:US
Mailing Address - Phone:786-520-4064
Mailing Address - Fax:305-290-8603
Practice Address - Street 1:18350 NW 2ND AVE
Practice Address - Street 2:STE 402
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4568
Practice Address - Country:US
Practice Address - Phone:786-520-4064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-16
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9225787363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty