Organization
JACKSON HEALTH SYSTEM
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAPHNE LEONIE REYNOLDS ARNP (ARNP)
(786) 263-4935
Entity
Organization
Contact information
Practice address
9771 GLACIER DR, MIRAMAR, FL 33025-4410
(954) 554-6416
Mailing address
9771 GLACIER DR, MIRAMAR, FL 33025-4410
(954) 554-6416
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1706182
FL
Other
Enumeration date
08/05/2006
Last updated
09/06/2023
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