National Provider Identifier Database

JACKSON MEMORIAL HOSPITAL
Women


Contact Information

JACKSON MEMORIAL HOSPITAL
1611 NW 12TH AVE
MIAMI, FL33136-1005
Phone: 305-585-5116
Fax:
Website:
Specialty Taxonomy Code
* Women 282NW0100X

* Indicates primary specialty

NPI Profile & details for JACKSON MEMORIAL HOSPITAL

NPI Number 1598862880
Legal business name
LBN
JACKSON MEMORIAL HOSPITAL
Authorized official JOY GLAZE - (ARNP)
Entity Organization
Organization subpart No
Enumeration date 09/20/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 2213562

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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