Organization
JACKSON MEDICAL OFFICE LLC
Active
Organization
JACKSON MEDICAL OFFICE LLC
Active
Parent organization
JACKSON MEDICAL OFFICE LLC
Other names
Jackson Medical Office LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON MEDICAL OFFICE LLC
Authorized official
DR. JORGE P AMAYA ME (CEO)
(728) 205-7604
Entity
Organization
Contact information
Practice address
730 NW 107TH AVE STE 214, MIAMI, FL 33172-3104
(728) 205-7604
(305) 341-3910
Mailing address
730 NW 107TH AVE STE 214, MIAMI, FL 33172-3104
(728) 205-7604
(305) 341-3910
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/22/2025
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