Organization
JACKSON MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILBERTO AGUSTINE SOTO CRNA (STAFF CRNA)
(305) 996-0025
Entity
Organization
Contact information
Practice address
3311 SW 17TH ST, MIAMI, FL 33145-1821
(304) 448-7294
Mailing address
3311 SW 17TH ST, MIAMI, FL 33145-1821
(304) 448-7294
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2738382
FL
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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