Organization
JAC MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL FERNANDEZ (PRESIDENT)
(305) 827-2033
Entity
Organization
Contact information
Practice address
8001 W 26TH AVE, STE 3, HIALEAH, FL 33016-2753
(305) 827-2033
Mailing address
8001 W 26TH AVE, STE 3, HIALEAH, FL 33016-2753
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC9144
FL
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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