Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackson Medical Center Corp

Organization General Practice Physician · NPI 1306892179

Jackson Medical Center Corp is a General Practice Physician in Miami, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

138 NE 1st Ave 2 Fl
Miami, FL 33132-2106
Phone: (305) 416-0014
Fax: (305) 416-0013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence HCC6855 (FL)

Record details

NPI number1306892179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorge Leon — Owner · (305) 416-0014
NPI enumeratedMay 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address138 Ne 1st Ave, 2 Floor, Miami, FL 33132-2106

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