ROSEMARY JACKSON (NPI# 1619305174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619305174 |
| Entity Type | Individual |
| Full Name | ROSEMARY JACKSON |
| Credential | MD, MPH |
| Practice Address |
4960 Sw 72nd Ave Suite 400 Miami FL 33155-5544 |
| Mailing Address |
309 Appaloosa Trl Bahama NC 27503-9621 |
| Practice Telephone | 9546495029 |
| Practice Fax Number | 9197689193 |
| Mailing Telephone | 9546495029 |
| Mailing Fax Number | 9197689193 |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2013-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME92761 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0101047114 | VA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 263617 | NY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 35379 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174843031 | Rosemary Ann Jackson | Counselor | 3005 N Robinson Ave, Oklahoma City, OK 73103-4124 | 2010-06-02 |
| 1801878921 | Rosemary Maxine Jackson | Pediatrics | 86 E 49th St, Suite G, Brooklyn, NY 11203-1901 | 2005-11-15 |
| 1720410343 | Rosemary Akachukwu Jackson | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2013-08-06 |
| 1285076059 | Rosemary Ann Jackson | Nurse Practitioner | 576 Jefferson Ave., Fort Eustis, VA 23604-5548 | 2013-07-22 |
| 1518217181 | Rosemary Jackson | Social Worker | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2012-09-11 |
| 1942529995 | Rosemary Helen Jackson | Counselor | 11808 Provincetowne Dr, Charlotte, NC 28277-9165 | 2010-05-28 |
| 1790992576 | Rosemary B Jackson | Social Worker | 2650 Olive St, Saint Louis, MO 63103-1424 | 2007-05-17 |
| Street Address |
4960 SW 72ND AVE SUITE 400 |
| City | MIAMI |
| State | FL |
| Zip Code | 33155-5544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023087707 | Jesus M Llanes Jr. | Internal Medicine | 4960 Sw 72nd Ave, Suite 406, Miami, FL 33155-5544 | 2006-03-16 |
| 1780031294 | Enrico Grugnetti | Registered Nurse | 4960 Sw 72nd Ave, Suite 406, Miami, FL 33155-5544 | 2016-05-16 |
| 1447607882 | Maria Cristina Mulet | Licensed Practical Nurse | 4960 Sw 72nd Ave, Suite 406, Miami, FL 33155-5544 | 2016-05-16 |
| 1194172692 | Christine Lopez | Registered Nurse | 4960 Sw 72nd Ave, Suite 406, Miami, FL 33155-5544 | 2016-05-16 |
| 1467835157 | Baroma Consortium | Case Management | 4960 Sw 72nd Ave, Suite 305, Miami, FL 33155-5544 | 2015-06-30 |
| 1346679982 | Jennifer Turney | Counselor | 4960 Sw 72nd Ave, Suite 400, Miami, FL 33155-5544 | 2013-11-04 |
| 1053755090 | Speakeasy for Kids Inc. | Speech-Language Pathologist | 4960 Sw 72nd Ave, Suite # 305, Miami, FL 33155-5544 | 2013-04-22 |
| 1174868871 | Mcci Mayfair/jaffer, LLC | Family Medicine | 4960 Sw 72nd Ave, Suite 406, Miami, FL 33155-5544 | 2012-12-06 |
| 1417261603 | Armor Correctional Health Services, Inc | Clinic/Center | 4960 Sw 72nd Ave, Suite 400, Miami, FL 33155-5544 | 2010-07-30 |
| 1336469618 | Primary Wound Care Specialists LLC | Specialist | 4960 Sw 72nd Ave, Suite 310, Miami, FL 33155-5544 | 2010-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987121 | Blanca Argentina Torres | Speech-Language Pathologist | 6840 Bird Rd Unit 211a, Miami, FL 33155 | 2020-09-21 |
| 1245888585 | Mila De La Caridad Broche Coego | Behavior Technician | 2247 Sw 68th Ct, Miami, FL 33155 | 2019-08-29 |
| 1265087878 | Nancy Acela Denis | Nurse Practitioner | 6791 Sw 25 Terra, Miami, FL 33155 | 2019-08-09 |
| 1700366887 | Aly Hashim | Family Medicine | 2805 Sw 75th Avenue, Miami, FL 33155 | 2018-08-17 |
| 1184115362 | Ready 2 Transfer, Inc. | Non-emergency Medical Transport (VAN) | 7811 Sw 24 Street #120, Miami, FL 33155 | 2018-05-23 |
| 1053808030 | Idalmis Pimentel Diez | Behavior Technician | 6334 Sw 30th St, Miami, FL 33155 | 2018-04-16 |
| 1225538689 | L & L Social Services LLC | Case Management | 5950 Sw 40 St, Miami, FL 33155 | 2018-02-12 |
| 1659888915 | Red Bird Dental Care | Dentist | 5771 Sw 40 St, Miami, FL 33155 | 2018-01-08 |
| 1043726474 | Jesenia Rodriguez-vila | Nurse Practitioner | 6433 Sw 29th St, Miami, FL 33155 | 2017-12-21 |
| 1326553736 | Believe Neuro-behavioral Services | Behavioral Analyst | 6700 Sw 38th St, Miami, FL 33155 | 2017-12-07 |
| Find all providers in zip 33155 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912550 | Wound Integrity Florida Pa | Family Medicine | 111 Ne 1st St # 1011, Miami, FL 33132-2506 | 2020-11-03 |
| 1700486933 | Orlando Jorge Diaz | Family Medicine | 6231 Sw 138th Ct Apt N, Miami, FL 33183-2095 | 2020-10-27 |
| 1386242402 | Michelle Andrea Von Der Heyde | Family Medicine | 2806 Sw 145th Ct, Miami, FL 33175-7479 | 2020-10-12 |
| 1558968008 | Vera Medical Practice LLC | Family Medicine | 6741 Coral Way Ste 44, Miami, FL 33155-1767 | 2020-10-07 |
| 1396342069 | Navarro Medical Centers LLC | Family Medicine | 10240 Sw 56th St Ste 101, Miami, FL 33165-7066 | 2020-10-06 |
| 1477160513 | Marta Yamilex Herrera Lorenzo | Family Medicine | 500 Sw 120th Ave, Miami, FL 33184-1643 | 2020-09-23 |
| 1336753482 | Vielka D Centeno | Family Medicine | 13244 Sw 111th Ter Apt 2, Miami, FL 33186-4364 | 2020-09-06 |
| 1164031670 | Yanet Ybanez Alvarez | Family Medicine | 6201 Coral Lake Dr, Miami, FL 33155-5938 | 2020-07-30 |
| 1093323107 | Jalima Jimenez Morejon | Family Medicine | 23103 Sw 107th Pl, Miami, FL 33170-7545 | 2020-07-15 |
| 1548878655 | Lisandra Franco Porto | Family Medicine | 2001 Ludlam Rd Apt 335, Miami, FL 33155-1898 | 2020-07-15 |
| Find all providers in MIAMI | ||||
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| 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.