BELLIAMINOWA JACKSON
NPI 1639588031
Pediatrics in Pembroke Pines, FL

Active since August 11, 2014
17761 SW 2ND ST, PEMBROKE PINES, FL 33029(786) 484-0088(786) 484-0190 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Belliaminowa Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BELLIAMINOWA JACKSON (NPI 1639588031) is a healthcare organization registered as a pediatrics in Pembroke Pines, Florida and active in the NPI registry since August 2014. The organization lists Belliaminowa Jackson, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1639588031
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBELLIAMINOWA JACKSON
Location Address17761 SW 2ND STPembroke Pines, FL 33029-3924
Mailing Address17761 Sw 2nd StPembroke Pines, FL 33029-3924 · (786) 484-0088 · Fax (786) 484-0190
Fax(786) 484-0190
Organization SubpartNo
Authorized OfficialBelliaminowa JacksonPediatrician · (786) 484-0088
Enumeration DateAugust 11, 2014
NPI 1639588031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in FL · ME87240
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
17761 SW 2ND ST, Pembroke Pines, FL 33029

Other Identifiers 1

Medicaid278195600FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
17761 SW 2ND ST
PEMBROKE PINES, FL 33029
Pediatrics
17761 SW 2ND ST
PEMBROKE PINES, FL 33029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Belliaminowa Jackson's NPI number?

The NPI number for Belliaminowa Jackson is 1639588031. It was assigned to this organization in the NPPES registry on August 11, 2014.

Where is Belliaminowa Jackson located?

Belliaminowa Jackson is located at 17761 SW 2nd St, Pembroke Pines, FL 33029. The listed phone number is (786) 484-0088.

What is Belliaminowa Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Belliaminowa Jackson accept?

Health plans from Wellpoint list Belliaminowa Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Belliaminowa Jackson was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.