NPI 1093869794
Jackson Mem Hos
Practice location
- Address
- 1611 NW 12th Ave, Miami, FL 33136-1005
- Phone
- (305) 585-6677
- Mailing address
- 10429 Oak Meadow Ln, Lake Worth, FL 33467-5470
Authorised official
- Name
- Audrey Vivienne Roberts
- Title
- Arnp
- Phone
- (305) 585-6677
Registered specialties
General Acute Care Hospital
Primary
Registry record
- NPI
- 1093869794
- Entity type
- Organization
- NPI issued
- 22 Jan 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.