Organization
JACKSON SOUTH COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAYSI QUINTANILLA ARNP (ASSOCIATE DIRECTOR OF PATIENTS CARE)
(305) 256-5311
Entity
Organization
Contact information
Practice address
9333 SW 152 ST, MIAMI, FL 33156
(305) 256-5311
(305) 256-5304
Mailing address
5850 NW 191ST TER, HIALEAH, FL 33015-5036
(305) 558-8826
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
ARNP 2950782
FL
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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