JACKSON MEDICAL CENTER CORP NPI 1306892179

NPI Information

JACKSON MEDICAL CENTER CORP is a general practice in Miami, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee JACKSON MEDICAL CENTER CORP NPI is 1306892179. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

138 NE 1ST AVE
2 FLOOR
MIAMI, FL
ZIP 33132-106
Phone: (305) 416-0014
Fax: (305) 416-0013

The provider's authorized official is Jorge L Leon .
The authorized official title is Owner and has the following contact phone number (305) 416-0014.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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