Organization
JACKSON MEMORIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH JAMES MILLER C.R.N.A. (STAFF C.R.N.A.)
(305) 585-6586
Entity
Organization
Contact information
Practice address
1401 BAY RD, 510, MIAMI BEACH, FL 33139-3715
(305) 996-0948
Mailing address
1401 BAY RD, 510, MIAMI, FL 33139-3715
(305) 996-0948
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2777352
FL
Other
Enumeration date
10/11/2006
Last updated
07/21/2022
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