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

Jackson Memorial Hospital

Organization Critical Access Hospital · NPI 1205092186

Jackson Memorial Hospital is a Critical Access Hospital in Miami, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008

Practice location Address checks out

1611 NW 12th Ave Acc E Rm 102
Miami, FL 33136-1005
Phone: (305) 585-5241
Fax: (305) 585-5112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Access Hospital (primary) Taxonomy 282NC0060X · Licence G235559478070 (FL)

Record details

NPI number1205092186
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCare and Treatment Network
Authorized official Marie -Yolaine Gaston — Pac Waiver Case Manager · (305) 585-5241
Other names South Florida Aids Network
NPI enumeratedJuly 31, 2008
Last updated in NPPESJuly 31, 2008
Mailing address1611 Nw 12th Ave, Acc East Room 102, Miami, FL 33136-1005

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