| Jackson North | |
|
20201 Nw 37th Ave Opa Locka FL 33056-1755 | |
| (786) 466-2700 | |
| Not Available |
| Full Name | Jackson North |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 20201 Nw 37th Ave, Opa Locka, Florida |
| Authorized Official Name and Position | Darlise Baron (UTILIZATION REVIEW SPECIALIST) |
| Authorized Official Contact | 7864662800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson North 20201 Nw 37th Ave Opa Locka FL 33056-1755 Ph: (305) 249-6815 | Jackson North 20201 Nw 37th Ave Opa Locka FL 33056-1755 Ph: (786) 466-2700 |
| NPI Number | 1639276025 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639276025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | SW7629 (Florida) | Primary |
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