| Jag Medical Center Llc | |
|
1340 W 68th St Hialeah FL 33014-4526 | |
| (305) 556-7245 | |
| (954) 200-7814 |
| Full Name | Jag Medical Center Llc |
|---|---|
| Speciality | General Practice |
| Location | 1340 W 68th St, Hialeah, Florida |
| Authorized Official Name and Position | Jose A Gonzalez (OWNER) |
| Authorized Official Contact | 3055567245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jag Medical Center Llc 1340 W 68th St Hialeah FL 33014-4526 Ph: (305) 556-7245 | Jag Medical Center Llc 1340 W 68th St Hialeah FL 33014-4526 Ph: (305) 556-7245 |
| NPI Number | 1083080923 |
|---|---|
| Provider Enumeration Date | 08/14/2015 |
| Last Update Date | 08/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083080923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME0055443 (Florida) | Primary |
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