Organization
JACKSON CLINIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO A CASTILLO (PRESIDENT)
(786) 234-5699
Entity
Organization
Contact information
Practice address
8770 SW 72ND ST # 307, MIAMI, FL 33173-3512
(786) 234-5699
(702) 549-9256
Mailing address
8770 SW 72ND ST # 307, MIAMI, FL 33173-3512
(786) 234-5699
(702) 549-9256
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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