JACKSON MEMORIAL HOSPITAL (NPI# 1477568178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477568178 |
| Entity Type | Organization |
| Organization Name | JACKSON MEMORIAL HOSPITAL |
| Practice Address |
13850 Nw 41st St Doral FL 33178-3004 |
| Mailing Address |
405 Nw 130th St North Miami FL 33168-3746 |
| Practice Telephone | 7862634935 |
| Mailing Telephone | 3056857277 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ATHENA L LUZOD (NP) |
| Authorized Official Telephone | 7862634935 |
| Authorized Official Credential | ARNP, MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 1245132 | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306158266 | Jackson Memorial Hospital | Special Hospital | 13128 Sw 45th Dr, Miramar, FL 33027-3160 | 2010-07-08 |
| 1477871069 | Jackson Memorial Hospital | General Acute Care Hospital | 4304 E Whitewater Ave, Weston, FL 33332-2409 | 2010-05-07 |
| 1992034466 | Jackson Memorial Hospital | General Acute Care Hospital | 2101 Brickell Ave, 712, Miami, FL 33129-2128 | 2009-12-13 |
| 1225275639 | Jackson Memorial Hospital | General Acute Care Hospital | 169 E Flagler St Fl 11, Miami, FL 33131-1210 | 2009-01-08 |
| 1861603706 | Jackson Memorial Hospital | Clinic/Center | 1600 Nw 12th Ave., Suite C-150, Miami, FL 33136 | 2007-05-24 |
| 1891879623 | Jackson Memorial Hospital | General Acute Care Hospital | 435 Ne 121st St, Apt 207, North Miami, FL 33161-5480 | 2006-10-25 |
| 1922196062 | Jackson Memorial Hospital | General Acute Care Hospital | 3311 Sw 17th St, Miami, FL 33145-1821 | 2006-10-11 |
| 1366973745 | Jackson Memorial Hospital | Skilled Nursing Facility | 1611 Nw 12th Ave, East Tower, Miami, FL 33136-1005 | 2017-03-27 |
| 1497033500 | Jackson Memorial Hospital | Chronic Disease Hospital | 1450 Nw 10th Ave, Suite 2054a, Miami, FL 33136-1011 | 2011-07-25 |
| 1528386463 | Jackson Memorial Hospital | Medicare Defined Swing Bed Unit | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2010-05-16 |
| Street Address |
13850 NW 41ST ST |
| City | DORAL |
| State | FL |
| Zip Code | 33178-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881047686 | Athena Luzod | Nurse Practitioner | 13850 Nw 41st St, Doral, FL 33178-3004 | 2016-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571801 | The Velis Brothers Dental Team | Dentist | 10449 Nw 41 St., Doral, FL 33178 | 2020-09-03 |
| 1316598188 | Marli Catturini Echegoyen | Behavior Technician | 8652 Nw 112th Ct, Doral, FL 33178 | 2019-09-24 |
| 1700343043 | Matilde Lidia Lewis | Registered Nurse | 9915 Nw 41 St, Suite 230, Doral, FL 33178 | 2019-02-22 |
| 1700366622 | Polyclinic Healthcare Corp | Family Medicine | 10800 Nw 58th St, Doral, FL 33178 | 2018-08-20 |
| 1689022691 | Zeida M Prendes-guerra | Behavioral Analyst | 5620 Nw 107th Ave Apt 1512, Doral, FL 33178 | 2016-05-31 |
| 1437519014 | Isel Gonzalez | Nurse Practitioner | 11573 Nw 69 Terr, Doral, FL 33178 | 2016-02-25 |
| 1114335189 | Mia Mccarthy | Student in an Organized Health Care Education/Training Program | 10045 Nw 46th St, Doral, FL 33178 | 2014-07-23 |
| 1043641269 | Ultimate Performance Fitness Consultants Pl | Clinic/Center | 9831 Nw 58th St #130, Doral, FL 33178 | 2013-12-13 |
| 1871924845 | Silvana Newman | Behavioral Analyst | 8249 Nw 36th Street Suite 206, Miami, FL 33178 | 2013-12-02 |
| 1154755478 | Dina Garabedian | Physician Assistant | 7952 Nw 114th Ct, Miami, FL 33178 | 2013-08-22 |
| Find all providers in zip 33178 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336773969 | Acutrition LLC | Clinic/Center | 8337 Nw 12th St # 101, Doral, FL 33126-1841 | 2020-02-22 |
| 1942847496 | Atlantic Medical Center Doral Inc | Clinic/Center | 10900 Nw 25th St Ste 104, Doral, FL 33172-1922 | 2019-12-03 |
| 1962960633 | Matmar Products LLC | Clinic/Center | 9585 Nw 41st St, Doral, FL 33178-2914 | 2019-03-12 |
| 1437651122 | Best Wellness Center LLC | Clinic/Center | 8181 Nw 36th St Ste 5c, Doral, FL 33166-6628 | 2018-03-08 |
| 1396265583 | Sepa Doral, LLC | Clinic/Center | 8000 Nw 21st St Ste 221, Doral, FL 33122-1620 | 2017-06-20 |
| 1386030328 | Physical Therapy At Doral,llc | Clinic/Center | 8725 Nw 18 Terrace Suite 211, Integra Rehabilitation, Doral, FL 33172 | 2015-04-07 |
| 1891130274 | San Francisco Medical Clinic Inc | Clinic/Center | 3900 Nw 79th Ave Ste 631, Doral, FL 33166-6550 | 2013-04-30 |
| 1861702193 | Jap Therapy Center Inc | Clinic/Center | 8181 Nw 36th St Ste 7, Doral, FL 33166-6642 | 2010-10-20 |
| 1932436441 | Lopez Sano Medical Services, Inc. | Clinic/Center | 9590 Nw 25th St # 101, Doral, FL 33172-1402 | 2009-11-05 |
| 1780823617 | Rcl Group Service Inc | Clinic/Center | 10773 Nw 58th St # 763, Doral, FL 33178-2801 | 2009-02-17 |
| Find all providers in DORAL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.