NPI | 1811040249 |
---|---|
Doing Business As | JACKSON INFANT TODDLER CENTER PROFESSIONAL |
Entity Type | Organization |
Authorized Contact | MARK T KNIGHT Chief Financial Officer 305-585-7979 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL 6002096) |
Additional Taxonomies | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care (Licence: FL 6002096) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2017-04-06 |