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NPI Code Detail

MEDICARE: J.J.C. MEDICAL CENTER

MEDICARE: J.J.C. MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1306917174
Entity Type Code : Organization
Provider Name (Legal Business Name) : J.J.C. MEDICAL CENTER
Provider Business Mailing Address
First Line : 1509 SW 104TH PL
Second Line :
City : MIAMI
State : FL
Zip : 33174-2670
Country : US
Telephone Number : 305-216-3697
Fax Number :
Provider Business Practice Location Address
First Line : 6716 W FLAGLER ST
Second Line :
City : MIAMI
State : FL
Zip : 33144-2924
Country : US
Telephone Number : 786-517-4608
Fax Number : 786-517-4610
Authorized Official
Title or Position : PRESIDENT
Name : YENI LOPEZ
Credential :
Telephone Number : 305-216-3697
Provider Enumeration Date : 11/13/2006
Last Update Date : 08/22/2020

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Directions to “J.J.C. MEDICAL CENTER ” Practice Location

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