Organization
JACKSON MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE L LEON (OWNER)
(305) 416-0014
Entity
Organization
Contact information
Practice address
138 NE 1ST AVE, 2 FLOOR, MIAMI, FL 33132-2106
(305) 416-0014
(305) 416-0013
Mailing address
138 NE 1ST AVE, 2 FLOOR, MIAMI, FL 33132-2106
(305) 416-0014
(305) 416-0013
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HCC6855
FL
Other
Enumeration date
05/25/2006
Last updated
08/22/2020
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