Provider Type Icon

MJD WELLNESS AND COMMUNITY CENTER INC NPI 1275156259


NPI Information

NPI: 1275156259
Provider Name: MJD WELLNESS AND COMMUNITY CENTER INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 10D2180534

Address:
822 NE 125TH ST STE 103
NORTH MIAMI, FL
ZIP 33161
Phone: (786) 406-5886
Get Directions

MJD WELLNESS AND COMMUNITY CENTER INC is a community health clinic center in North Miami, FL. MJD WELLNESS AND COMMUNITY CENTER INC NPI is 1275156259. The provider is registered as an organization entity type.

The provider's business location address is:

822 NE 125TH ST STE 103
NORTH MIAMI, FL
ZIP 33161-729
Phone: (786) 406-5886

The provider's authorized official is Emmanuella Fluerimont .
The authorized official title is Ceo and has the following contact phone number (786) 406-5886.

The CLIA number assigned to this NPI record is 10D2180534 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2020 and was last updated on 1/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2261QP2300XClinic/CenterPrimary CareNo
3261QC1500XClinic/CenterCommunity HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.