WENTWORTH GRANTLEY JARRETT (NPI# 1104836972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104836972 |
| Entity Type | Individual |
| Full Name | WENTWORTH GRANTLEY JARRETT |
| Credential | M.D. |
| Practice Address |
12955 Sw 132nd St Bldg 3b Suite 104 Miami FL 33186-7205 |
| Practice Telephone | 3055205750 |
| Practice Fax Number | 3055205754 |
| Mailing Telephone | 3055205750 |
| Mailing Fax Number | 3055205754 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME48820 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 046128800 | 05 |
| Street Address |
12955 SW 132ND ST BLDG 3B SUITE 104 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598138158 | Pinnacle Family Services of Florida | Community/Behavioral Health | 12955 Sw 132nd St, Suite 200, Miami, FL 33186-7205 | 2015-11-04 |
| 1366637951 | Dr Wentworth Jarrett Pa | Family Medicine | 12955 Sw 132nd St, Bldg 3b Suite 104, Miami, FL 33186-7205 | 2007-09-07 |
| 1114072949 | Institute for Family Centered Services | Community/Behavioral Health | 12955 Sw 132nd St, Suite 202, Miami, FL 33186-7205 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912550 | Wound Integrity Florida Pa | Family Medicine | 111 Ne 1st St # 1011, Miami, FL 33132-2506 | 2020-11-03 |
| 1700486933 | Orlando Jorge Diaz | Family Medicine | 6231 Sw 138th Ct Apt N, Miami, FL 33183-2095 | 2020-10-27 |
| 1386242402 | Michelle Andrea Von Der Heyde | Family Medicine | 2806 Sw 145th Ct, Miami, FL 33175-7479 | 2020-10-12 |
| 1558968008 | Vera Medical Practice LLC | Family Medicine | 6741 Coral Way Ste 44, Miami, FL 33155-1767 | 2020-10-07 |
| 1396342069 | Navarro Medical Centers LLC | Family Medicine | 10240 Sw 56th St Ste 101, Miami, FL 33165-7066 | 2020-10-06 |
| 1477160513 | Marta Yamilex Herrera Lorenzo | Family Medicine | 500 Sw 120th Ave, Miami, FL 33184-1643 | 2020-09-23 |
| 1336753482 | Vielka D Centeno | Family Medicine | 13244 Sw 111th Ter Apt 2, Miami, FL 33186-4364 | 2020-09-06 |
| 1164031670 | Yanet Ybanez Alvarez | Family Medicine | 6201 Coral Lake Dr, Miami, FL 33155-5938 | 2020-07-30 |
| 1093323107 | Jalima Jimenez Morejon | Family Medicine | 23103 Sw 107th Pl, Miami, FL 33170-7545 | 2020-07-15 |
| 1548878655 | Lisandra Franco Porto | Family Medicine | 2001 Ludlam Rd Apt 335, Miami, FL 33155-1898 | 2020-07-15 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.