Provider Demographics
NPI:1194325332
Name:JACAWE BILLING SERVICES, INC.
Entity type:Organization
Organization Name:JACAWE BILLING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DESTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-404-3955
Mailing Address - Street 1:11634 NW 35TH CT
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-2679
Mailing Address - Country:US
Mailing Address - Phone:954-404-3955
Mailing Address - Fax:954-363-0971
Practice Address - Street 1:11634 NW 35TH CT
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-2679
Practice Address - Country:US
Practice Address - Phone:954-404-3955
Practice Address - Fax:954-363-0971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationGroup - Multi-Specialty