Provider Demographics
NPI:1881307569
Name:PLANET ASSIST INC
Entity type:Organization
Organization Name:PLANET ASSIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PONCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-644-8316
Mailing Address - Street 1:6303 BLUE LAGOON DR STE 437
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-6002
Mailing Address - Country:US
Mailing Address - Phone:305-644-8316
Mailing Address - Fax:305-850-6595
Practice Address - Street 1:6303 BLUE LAGOON DR STE 437
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-6002
Practice Address - Country:US
Practice Address - Phone:305-644-8316
Practice Address - Fax:305-850-6595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management