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Organization
JACKSON CORRECTIONAL INSTITUTION
Active
Organization
JACKSON CORRECTIONAL INSTITUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT FLORES (WARDEN)
(850) 569-5260
Entity
Organization
Contact information
Practice address
5563 10TH ST, MALONE, FL 32445-3129
(850) 569-5260
(850) 569-1013
Mailing address
5563 10TH ST, MALONE, FL 32445-3129
(850) 569-5260
(850) 569-1013
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
ARNP 1812192
FL
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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