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Organization
JACKSON MEMORIAL HOSPITAL
Active
Organization
JACKSON MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE CESPEDES (DIRECTOR CARE-A-VAN)
(305) 585-5513
Entity
Organization
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5513
Mailing address
759 NW 174TH AVE, PEMBROKE PINES, FL 33029-3145
(305) 798-0272
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1735652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477629145.
NPI
FL
Enumeration date
06/12/2006
Last updated
02/10/2010
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