# MY FAMILY DOCTOR, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184115263
- **Authorized official:** MRS. ARNIKA RENEE JACKSON (PRESIDENT/OFFICE MANAGER)
- **Authorized official phone:** (305) 705-6688

## Contact information

- **Practice address:** 111 NW 183RD ST STE 306, MIAMI, FL 33169-4599
- **Practice address phone:** (305) 705-6688
- **Mailing address:** 111 NW 183RD ST STE 306, MIAMI, FL 33169-4599
- **Mailing address phone:** (305) 705-6688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME37656 | FL | Yes |

## Other

- **Enumeration date:** 05/23/2018
- **Last updated:** 05/23/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1184607541 | — | FL |