Organization
JACKSON MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVIS HARJA MD (FWLLOW)
(917) 536-1634
Entity
Organization
Contact information
Practice address
1450 NW 10TH AVE, SUITE 2054A, MIAMI, FL 33136-1011
(917) 536-1624
Mailing address
1450 NW 10TH AVE, SUITE 2054A, MIAMI, FL 33136-1011
(917) 536-1624
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
281P00000X
Chronic Disease Hospital
—
—
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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