Organization
JAC MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS MARTINEZ (PRESIDENT)
(305) 380-8717
Entity
Organization
Contact information
Practice address
11093 NW 138TH ST, STE 123, HIALEAH GARDENS, FL 33018-1153
(305) 380-8717
Mailing address
11093 NW 138TH ST, STE 123, HIALEAH GARDENS, FL 33018-1153
(305) 380-8717
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC9144
FL
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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