Organization
JACKSON MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE FERRER ARNP (RENAL MANAGEMENT ARNP)
(305) 585-6199
Entity
Organization
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6199
Mailing address
1990 SW 33RD CT, MIAMI, FL 33145-2226
(305) 301-7179
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
ARNP2618882
FL
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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