Provider Demographics
NPI:1275647836
Name:JADA SOLUTION CORP.
Entity Type:Organization
Organization Name:JADA SOLUTION CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EVELIO V
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-477-2022
Mailing Address - Street 1:3900 NW 79TH AVE
Mailing Address - Street 2:SUITE 590
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6556
Mailing Address - Country:US
Mailing Address - Phone:305-477-2022
Mailing Address - Fax:305-418-9299
Practice Address - Street 1:3900 NW 79TH AVE
Practice Address - Street 2:SUITE 590
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6556
Practice Address - Country:US
Practice Address - Phone:305-477-2022
Practice Address - Fax:305-418-9299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDING PROVIDER NUMMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER