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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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