Provider Demographics
NPI:1942507769
Name:J MAYANS MD PA
Entity Type:Organization
Organization Name:J MAYANS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYANS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-418-0580
Mailing Address - Street 1:9100 SW 114TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-4330
Mailing Address - Country:US
Mailing Address - Phone:305-418-0580
Mailing Address - Fax:
Practice Address - Street 1:9100 SW 114TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-4330
Practice Address - Country:US
Practice Address - Phone:305-418-0580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty