Organization
JACKSON HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTO SARMIENTO MD (ASSOC MEDICAL DIRECTOR)
(305) 585-6262
Entity
Organization
Contact information
Practice address
1033 SW 72ND AVENUE, MIAMI, FL 33156
(305) 665-6798
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6262
(305) 585-2457
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
ME9057
FL
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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