# JACKSON MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1992034466
- **Authorized official:** ENRIQUE VAZQUEZ-VERA M.D. (RESIDENT PHYSICIAN IN OBGYN)
- **Authorized official phone:** (786) 426-7562

## Contact information

- **Practice address:** 2101 BRICKELL AVE, 712, MIAMI, FL 33129-2128
- **Practice address phone:** (786) 426-7562
- **Mailing address:** 2101 BRICKELL AVE, 712, MIAMI, FL 33129-2128
- **Mailing address phone:** (786) 426-7562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NW0100X | Women's Hospital | TRN10207 | FL | Yes |

## Other

- **Enumeration date:** 12/13/2009
- **Last updated:** 12/13/2009