Organization
FLORIDA MEDICAL PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W CHARLES JACKSON (PRESIDENT CEO)
(954) 442-7881
Entity
Organization
Contact information
Practice address
2901 SW 149TH AVE, SUITE 170, MIRAMAR, FL 33027
(954) 442-7881
(954) 442-9925
Mailing address
2901 SW 149TH AVE, SUITE 170, MIRAMAR, FL 33027
(954) 442-7881
(954) 442-9925
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2007
Last updated
08/22/2020
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