NPI | 1902551518 |
---|---|
Doing Business As | JACKSON MEDICAL PAVILION |
Entity Type | Organization |
Authorized Contact | MARK T KNIGHT EVP/CFO 305-585-4211 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 282N00000X General Acute Care Hospital |
Enumeration Date | 2022-02-14 |
Last Update Date | 2023-03-13 |