OrganizationActive
Jackson Memorial Hospital
NPI 1205092186 · Critical Access Hospital · Miami, FL
Provider details
- NPI number
- 1205092186
- Entity type
- Organization
- Primary specialty
- Critical Access HospitalHospitals
- Parent organization
- Care and Treatment Network
- Organization subpart
- Yes
- Authorized official
- Marie -Yolaine Gaston, Pac Waiver Case Manager(305) 585-5241
- License
- G235559478070 (FL)
Specialties & taxonomies
Hospitals
Practice location
1611 Nw 12th Ave
Acc East Room 102
Miami, FL 33136-1005
Phone: (305) 585-5241
Fax: (305) 585-5112
Approximate (ZIP-level) locationGet directions
Mailing address
1611 Nw 12th Ave
Miami, FL 33136-1005
Other names (DBA / former)
- Doing business as
- South Florida Aids Network
Registry dates
- Enumerated
- 2008-07-31
- Last updated
- 2008-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.