Provider Demographics
NPI:1700591849
Name:JET INSURANCE SOLUTIONS INC
Entity Type:Organization
Organization Name:JET INSURANCE SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEILER-ANSTETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-696-4561
Mailing Address - Street 1:3350 NW 2ND AVE STE A46
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6682
Mailing Address - Country:US
Mailing Address - Phone:954-696-4561
Mailing Address - Fax:
Practice Address - Street 1:3350 NW 2ND AVE STE A46
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6682
Practice Address - Country:US
Practice Address - Phone:954-696-4561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service