Belliaminowa Jackson

LBN: Belliaminowa Jackson
Belliaminowa Jackson is an health care organization with primary practice located at 17761 Sw 2Nd St , Pembroke Pines FL 33029-3924. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Belliaminowa Jackson can be contacted via phone (786) 484-0088, or through Jackson, Belliaminowa via phone (786) 484-0088.

Contact Information

Primary practice address
17761 Sw 2Nd St Pembroke Pines FL 33029-3924
Phone: (786) 484-0088
Fax: (786) 484-0190
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Belliaminowa Doctor of Medicine (MD)
Phone: (786) 484-0088

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME87240 Florida

Profile Details

NPI number 1639588031
LBN Legal business name Belliaminowa Jackson
DBA Doing business as
Authorized official Jackson, Belliaminowa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2014
Last updated Aug 11th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639588031 NPPES
Florida MEDICAID 278195600

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