Jackson Memorial Hospital
Clinic/Center in Doral, FL. Organization (NPI-2).
NPI number1477568178
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1477568178
- Entity type
- Organization (NPI-2)
- Legal business name
- Jackson Memorial Hospital
- Organization subpart
- No
- Enumeration date
- Jul 30, 2006
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 1245132 | FL | Yes |
Practice location
13850 Nw 41st StDoral, FL 33178-3004
Phone 786-263-4935
Mailing address
405 Nw 130th StNorth Miami, FL 33168-3746
Phone 305-685-7277
Authorized official
Athena L Luzod
NP
7862634935
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