| Jackson North Medical Center Psy | |
|
160 Nw 170th St North Miami Beach FL 33169-5521 | |
| (305) 585-8957 | |
| (305) 585-5259 |
| Full Name | Jackson North Medical Center Psy |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 160 Nw 170th St, North Miami Beach, Florida |
| Authorized Official Name and Position | Mark T Knight (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3055857979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson North Medical Center Psy Po Box 12493 Miami FL 33101-2493 Ph: (786) 466-8080 | Jackson North Medical Center Psy 160 Nw 170th St North Miami Beach FL 33169-5521 Ph: (305) 585-8957 |
| NPI Number | 1013942432 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 04/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013942432 | NPI | - | NPPES |
| 010042102 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 3998 (Florida) | Secondary |
| 273R00000X | Psychiatric Unit | 3998 (* (Not Available)) | Primary |
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