Organization
JA MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARLON MEDINA VICE-PRESIDENT (VICE-PRESIDENT)
(305) 889-2744
Entity
Organization
Contact information
Practice address
6905 NW 77TH AVE, MIAMI, FL 33166-2835
(305) 889-2744
(305) 889-2745
Mailing address
6905 NW 77TH AVE, MIAMI, FL 33166-2835
(305) 889-2744
(305) 889-2745
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
05/03/2010
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