# JAGS MEDICAL OFFICE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JAGS Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639493158
- **Authorized official:** MRS. VIOLETA L CHACON (DIRECTOR/GENERAL MANAGER)
- **Authorized official phone:** (305) 220-2338

## Contact information

- **Practice address:** 8748 SW 8TH ST, MIAMI, FL 33174-3201
- **Practice address phone:** (305) 220-2338
- **Practice address fax:** (305) 223-1210
- **Mailing address:** 8420 SW 21ST ST, MIAMI, FL 33155-1029
- **Mailing address phone:** (305) 220-2338
- **Mailing address fax:** (305) 223-1210

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2010
- **Last updated:** 09/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010777400 | — | FL |