JACKSON MEMORIAL HOSPITAL (NPI# 1306158266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306158266 |
| Entity Type | Organization |
| Organization Name | JACKSON MEMORIAL HOSPITAL |
| Practice Address |
13128 Sw 45th Dr Miramar FL 33027-3160 |
| Practice Telephone | 3055855584 |
| Mailing Telephone | 3055855584 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |
| Authorized Official Name | DR. ALEXANDRE CESAR FERREIRA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3055855527 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1477568178 | Jackson Memorial Hospital | Clinic/Center | 13850 Nw 41st St, Doral, FL 33178-3004 | 2006-07-30 |
| 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 |
13128 SW 45TH DR |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33027-3160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205378940 | Matthew Lee Islam | Special Hospital | 1733 3rd Ave N Apt 11, Lake Worth, FL 33460-3286 | 2016-11-11 |
| 1669822854 | Nathalie Oudin | Special Hospital | 8302 S Dixie Hwy, Banfield Pet Hospital - Dadeland #2440, Miami, FL 33143-7714 | 2016-06-17 |
| 1033474911 | Marathon Verterinary Hospital Inc. | Special Hospital | 11187 Overseas Hwy, Marathon, FL 33050-3460 | 2012-07-07 |
| 1962639344 | Vanessa Silebi, Md,pa | Special Hospital | 3661 S Miami Ave Ste 108, Miami, FL 33133-4206 | 2009-06-12 |
| 1164695888 | Jensen Beach Animal Hospital, LLC | Special Hospital | 1553 Ne Arch Ave, Jensen Beach, FL 34957-5755 | 2008-04-03 |
| 1235307554 | North Beach Research Institute, LLC | Special Hospital | 940 S Shore Dr, Miami Beach, FL 33141-2412 | 2008-02-20 |
| 1881874840 | Marge Brewster Center | Special Hospital | 5825 Us 27 N, Sebring, FL 33870-1216 | 2007-11-07 |
| 1144417197 | Department of Veterans Affairs Medical Center West Palm Beach | Special Hospital | 126 5th Street, Jupiter, FL 33458 | 2007-10-03 |
| 1851586333 | Joan Pamela Roberts | Special Hospital | 361 Berenger Walk, Wellington, FL 33414-4345 | 2007-09-07 |
| 1881792745 | Alternatives In Treatment, LLC | Special Hospital | 5408 East Ave, West Palm Beach, FL 33407 | 2006-09-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JACKSON MEMORIAL HOSPITAL.
| 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.