Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Other names
Jackson Memorial Long Term Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS MIGOYA (CEO)
(305) 585-3701
Entity
Organization
Contact information
Practice address
2500 NW 22ND AVE, MIAMI, FL 33142-8429
(786) 466-3000
(305) 638-6856
Mailing address
2500 NW 22ND AVE, MIAMI, FL 33142-8429
(786) 466-3000
(305) 638-6856
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1243096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020416100
—
FL
Enumeration date
10/03/2005
Last updated
03/09/2023
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