JAG MEDICAL CENTER LLC NPI 1083080923

NPI Information

NPI: 1083080923
Provider Name: JAG MEDICAL CENTER LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1340 W 68TH ST
HIALEAH, FL
ZIP 33014
Phone: (305) 556-7245
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JAG MEDICAL CENTER LLC is a general practice in Hialeah, FL. JAG MEDICAL CENTER LLC NPI is 1083080923. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1340 W 68TH ST
HIALEAH, FL
ZIP 33014-526
Phone: (305) 556-7245
Fax: (954) 200-7814

The provider's authorized official is Jose A Gonzalez .
The authorized official title is Owner and has the following contact phone number (305) 556-7245.

The enumeration date for this NPI number is 8/14/2015 and was last updated on 8/14/2015.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		ME0055443	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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