Organization
JACKSON HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH JAMES MILLER JR. CRNA (STAFF CRNA)
(305) 585-6586
Entity
Organization
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6586
Mailing address
1401 BAY RD, #510, MIAMI BEACH, FL 33139-3715
(305) 538-6586
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2777352
FL
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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