NPIMap

Organization Active NPI

Jackson Memorial Hospital

  • Clinic/Center
  • Doral, FL
National Provider Identifier
1477568178
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1245132 Issued in FL
Legal business name
JACKSON MEMORIAL HOSPITAL
Practice address
13850 NW 41St St
Doral, FL 33178-3004
Phone
(786) 263-4935
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Athena L Luzod, ARNP, MSNNPI 1881047686
Title
NP
Phone
(786) 263-4935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1245132 FL Primary

Addresses

Primary practice location

13850 NW 41St St
Doral, FL 33178-3004

Mailing address

405 NW 130TH St
North Miami, FL 33168-3746
Phone (305) 685-7277

National Provider Directory

National Provider Directory
Tax ID family
Tara Littlejohn Gonzales MD - Arbor Pediatrics107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 10

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

13850 NW 41st St
Doral, FL 33178
Phone (786) 263-4933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1477568178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NW 130TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331683746",
            "telephone_number": "305-685-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13850 NW 41ST ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783004",
            "telephone_number": "786-263-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "LUZOD",
        "authorized_official_first_name": "ATHENA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "786-263-4935",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP, MSN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "1245132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.