JL Gran Services, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JL GRAN SERVICES, INC

Practice address

3435 Westwood Dr
Titusville, FL 32796

Phone

(754) 234-1184

Fax

(321) 445-4757

NPI assigned

May 5, 2009

Organization subpart

No

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

Authorized official

Name

Jorge L Miro

Title

President

Phone

(754) 234-1184

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1356575427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 WESTWOOD DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32796",
            "telephone_number": "754-234-1184",
            "fax_number": "321-445-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 WESTWOOD DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32796",
            "telephone_number": "754-234-1184",
            "fax_number": "321-445-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JL GRAN SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "MIRO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-234-1184"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornelius Jenkins
• Paul Thomas Jennings, P.A.-C
• Richard Bruce Jensen, OD
• Jennifer Jesseman, PMHNP
• Noemi Isabel Jimenez
• Jmaxhq LLC
• Joan M McNeela
• Joel D Greenberg MD PA
• Joan Johanesen, MSW, PHD
• John Farah PA

• Clinic/Center in Titusville, FL
• Providers in Titusville, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.