Organization
JAGS MEDICAL OFFICE INC
Active
Other names
JAGS Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIOLETA L CHACON (DIRECTOR/GENERAL MANAGER)
(305) 220-2338
Entity
Organization
Contact information
Practice address
8748 SW 8TH ST, MIAMI, FL 33174-3201
(305) 220-2338
(305) 223-1210
Mailing address
8420 SW 21ST ST, MIAMI, FL 33155-1029
(305) 220-2338
(305) 223-1210
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010777400
—
FL
Enumeration date
03/26/2010
Last updated
09/02/2014
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