Organization
JACKSON MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FEDERICO MARIANO CANAVOSIO MD (GERIATRIC FELLOW)
(305) 575-7231
Entity
Organization
Contact information
Practice address
1201 NW 16TH ST, VA HOSPITAL, MIAMI, FL 33125-1624
(305) 575-3173
Mailing address
2625 COLLINS AVE, APT 411, MIAMI BEACH, FL 33140-4746
(646) 226-7834
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
—
—
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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