Organization Active NPI

JWH Miami Lakes I, LLC

  • General Practice Physician
  • Miami Lakes, FL
National Provider Identifier
1164044293
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JWH MIAMI LAKES I, LLC
Practice address
16320 NW 59 Ave
Miami Lakes, FL 33014-6879
Phone
(305) 557-1212
NPI assigned
May 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Justo L Pozo Jr.
Title
President
Phone
(305) 614-7740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

16320 NW 59 Ave
Miami Lakes, FL 33014-6879

Mailing address

9100 S Dadeland Blvd Ste 1400
Miami, FL 33156-7816
Phone (305) 614-7740

Other names 1

  • Justwell Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210224001722 FL Part B Supplier - Clinic/Group Practice 1153736186 Receives reassigned benefits from 2 practitioners
Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory

Locations

9100 S Dadeland Blvd
Ste 1400
Miami, FL 33156

7480 Fairway Dr
Ste 102
Miami Lakes, FL 33014
Phone (305) 557-1212

16320 NW 59th Ave
Miami Lakes, FL 33014
Phone (305) 557-1212

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1164044293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 S DADELAND BLVD STE 1400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567816",
            "telephone_number": "305-614-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16320 NW 59 AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146879",
            "telephone_number": "305-557-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWH MIAMI LAKES I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "POZO",
        "authorized_official_first_name": "JUSTO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-614-7740",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Justwell Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Justwell Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.