Healthcare Provider Details

I. General information

NPI: 1649835810
Provider Name (Legal Business Name): JESSICA ANN KENT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA ANN EASTMAN MD

II. Dates (important events)

Enumeration Date: 05/03/2019
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 NW 7TH AVE STE 2278
MIAMI FL
33136-1104
US

IV. Provider business mailing address

1951 NW 7TH AVE STE 2278
MIAMI FL
33136-1104
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-6388
  • Fax:
Mailing address:
  • Phone: 305-243-6388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME179989
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME179989
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberME179989
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: