Provider Demographics
NPI:1891380853
Name:PEARLS OF JUNE SOLUTIONS LLC
Entity Type:Organization
Organization Name:PEARLS OF JUNE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KEMLY
Authorized Official - Middle Name:
Authorized Official - Last Name:VALMYR
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:954-505-0784
Mailing Address - Street 1:450 N PARK RD STE 606
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6936
Mailing Address - Country:US
Mailing Address - Phone:954-505-0784
Mailing Address - Fax:
Practice Address - Street 1:450 N PARK RD STE 606
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6936
Practice Address - Country:US
Practice Address - Phone:954-505-0784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-02
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Yes291U00000XLaboratoriesClinical Medical Laboratory
No305S00000XManaged Care OrganizationsPoint of Service