NPI | 1326780016 |
---|---|
Doing Business As | JACKSON MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MARK T KNIGHT EVP CFO 305-585-4211 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2022-04-12 |
Last Update Date | 2024-01-17 |