Organization
JACKSON MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNETTE C MENA PT (PHYSICAL THERAPIST)
(305) 535-9962
Entity
Organization
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6334
Mailing address
1621 COLLINS AVE APT 903, MIAMI BEACH, FL 33139-3142
(305) 535-9962
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
20652
FL
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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