Organization
AJC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN R CHARLOT MD (MEDICAL DIRECTOR)
(305) 603-8200
Entity
Organization
Contact information
Practice address
1498 NW 54TH ST STE C, MIAMI, FL 33142-3861
(305) 603-8200
(305) 603-8461
Mailing address
1498 NW 54TH ST STE C, MIAMI, FL 33142-3861
(305) 603-8200
(305) 603-8461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/01/2016
Last updated
06/29/2016
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