OrganizationJanice D Bacchus, LlcNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9000 SW 152nd St, Suite 105, Palmetto Bay, FL 33157-1981(786) 445-0810PECOS EnrollmentBased on the most recent information from CMS, provider Janice D Bacchus, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1891122552Provider TypeOrganizationFull NameJanice D Bacchus, LlcSubpartNoEnumeration Date9/26/2013Last Updated9/26/2013Contact InformationPractice LocationPractice Address9000 SW 152nd St, Suite 105, Palmetto Bay, FL 33157-1981Phone(786) 445-0810Fax(786) 217-1409Mailing LocationMailing Address9000 SW 152nd St, Suite 105, Palmetto Bay, FL 33157-1981Phone(786) 445-0810Fax(786) 217-1409Authorized OfficialNameBacchus, Janice Denise (Owner)Phone(786) 423-8500Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9185531Florida