Provider Demographics
NPI:1891185302
Name:JM FAMILY ENTERPRISES, INC
Entity Type:Organization
Organization Name:JM FAMILY ENTERPRISES, INC
Other - Org Name:COMMERCE HEALTH & WELLNESS CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:GROUP VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ED
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-596-3976
Mailing Address - Street 1:111 JIM MORAN BLVD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1701
Mailing Address - Country:US
Mailing Address - Phone:954-429-2418
Mailing Address - Fax:954-429-2148
Practice Address - Street 1:648 HIGHWAY 334
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:GA
Practice Address - Zip Code:30530-5987
Practice Address - Country:US
Practice Address - Phone:706-336-3921
Practice Address - Fax:706-336-3908
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JM FAMILY ENTERPRISES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-04
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care