Look up the most recent NPI and PECOS records

Jenny Drice

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Jenny Drice does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1265546501
Provider Type
Individual
Full Name
Drice, Jenny
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
8/17/2006
Last Updated
2/14/2014

Contact Information

Practice Location

1611 NW 12th Ave, Miami, FL 33136-1005

(305) 585-1111

Unlisted Fax

Mailing Location

1500 NW 12th Ave, Jmt-East 1007, Miami, FL 33136-1028

(305) 243-4664

(305) 243-9927

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME0097130 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MA057613 New Jersey
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License ME0097130 Florida

Provider Identifiers

ID	Description	Issuer
ID 2780038-00	Description Medicaid	Issuer Unlisted Florida
ID MA057613	Description Other	Issuer MEDICAL LICENSE New Jersey
ID 6659403	Description Medicaid	Issuer Unlisted New Jersey
ID AE477	Description Other	Issuer MEDICARE Florida

Jenny Drice

PECOS Enrollment

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