NPI 1093899288

Jackson Memorial Hospital

Organisation Chronic Disease Hospital Miami, FL

Practice location

Address: 1611 NW 12th Ave, Miami, FL 33136-1005
Phone: (305) 585-6199
Mailing address: 1990 SW 33rd CT, Miami, FL 33145-2226

Authorised official

Name: Jacqueline Ferrer
Title: Renal Management Arnp
Phone: (305) 585-6199

Registered specialties

Chronic Disease Hospital Primary

Hospitals Taxonomy 281P00000X Licence ARNP2618882 (FL)

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Registry record

NPI: 1093899288
Entity type: Organization
NPI issued: 24 Oct 2006
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.