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

Jackson Memorial Hospital

Organization Clinic/Center · NPI 1861603706

Jackson Memorial Hospital is a Clinic/Center in Miami, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1600 NW 12th Ave Ste C-150
Miami, FL 33136
Phone: (305) 585-1520
Fax: (305) 585-1551
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 1646212 (FL)
Critical Access Hospital Taxonomy 282NC0060X · Licence 1646212 (FL)

Record details

NPI number1861603706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Lynne — Md- Department Of Urology · (305) 585-1520
NPI enumeratedMay 24, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address7634 S.W. 106 Ave., Miami, FL 33173

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