| NPI | 1386714418 |
|---|---|
| Doing Business As | JACKSON MEMORIAL HOSPITAL PEDI RENAL |
| Entity Type | Organization |
| Authorized Contact | MARK T KNIGHT Chief Financial Officer 305-585-7979 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: FL 3998) |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2017-04-06 |