| Jac Medical Center, Inc | |
|
11093 Nw 138th St Ste 123 Hialeah Gardens FL 33018-1153 | |
| (305) 380-8717 | |
| Not Available |
| Full Name | Jac Medical Center, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 11093 Nw 138th St, Hialeah Gardens, Florida |
| Authorized Official Name and Position | Carlos Martinez (PRESIDENT) |
| Authorized Official Contact | 3053808717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jac Medical Center, Inc 11093 Nw 138th St Ste 123 Hialeah Gardens FL 33018-1153 Ph: (305) 380-8717 | Jac Medical Center, Inc 11093 Nw 138th St Ste 123 Hialeah Gardens FL 33018-1153 Ph: (305) 380-8717 |
| NPI Number | 1275950180 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275950180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC9144 (Florida) | Primary |
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