| Jackson Memorial Hospital | |
|
1600 Nw 12th Ave. Suite C-150 Miami FL 33136 | |
| (305) 585-1520 | |
| (305) 585-1551 |
| Full Name | Jackson Memorial Hospital |
|---|---|
| Speciality | General Acute Care Hospital - Critical Access |
| Location | 1600 Nw 12th Ave., Miami, Florida |
| Authorized Official Name and Position | Charles Lynne (MD- DEPARTMENT OF UROLOGY) |
| Authorized Official Contact | 3055851520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Memorial Hospital 7634 S.w. 106 Ave. Miami FL 33173 Ph: (305) 742-5717 | Jackson Memorial Hospital 1600 Nw 12th Ave. Suite C-150 Miami FL 33136 Ph: (305) 585-1520 |
| NPI Number | 1861603706 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861603706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1646212 (Florida) | Primary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 1646212 (Florida) | Primary |
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