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 provides General Practice Physician services 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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