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JACKSON MEDICAL OFFICE LLC
NPI 1841091220
Clinic/Center in Miami, FL

Active since March 21, 2025
730 NW 107TH AVE STE 214, MIAMI, FL 33172(728) 205-7604(305) 341-3910 Get Directions Write a Review

NPPES record last updated: March 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Medical Office Llc NPPES

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

JACKSON MEDICAL OFFICE LLC (NPI 1841091220) is a healthcare organization registered as a clinic/center in Miami, Florida and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Miami and lists Jorge P Amaya, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841091220
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJACKSON MEDICAL OFFICE LLC
Location Address730 NW 107TH AVE STE 214Miami, FL 33172-3104
Mailing Address730 Nw 107th Ave Ste 214Miami, FL 33172-3104 · (728) 205-7604 · Fax (305) 341-3910
Phone(728) 205-7604
Fax(305) 341-3910
Organization SubpartYes
Authorized OfficialJorge P AmayaCeo · (728) 205-7604
Enumeration DateMarch 21, 2025
Last NPPES UpdateMarch 22, 2025
NPPES CertifiedMarch 22, 2025
✔ NPI 1841091220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
730 NW 107TH AVE STE 214, Miami, FL 33172
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Other Names 1

Former Legal Business NameJackson Medical Office Llc

Secondary Practice Location 1

Location 1730 NW 107th Ave Ste 214Miami, FL 33172-3104 · Phone (728) 205-7604 · Fax (305) 341-3910

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.

D&A SENIOR CARE
Technician (Attendant Care Provider)
730 NW 107TH AVE STE 214
MIAMI, FL 33172
Miami-Dade County (305) 564-1371
RAMON DIAZ
Contractor
730 NW 107TH AVE STE 214
MIAMI, FL 33172
Miami-Dade County (728) 205-7604

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 Jackson Medical Office LLC's NPI number?

The NPI number for Jackson Medical Office LLC is 1841091220. It was assigned to this organization in the NPPES registry on March 21, 2025.

Where is Jackson Medical Office LLC located?

Jackson Medical Office LLC is located at 730 NW 107th Ave Ste 214, Miami, FL 33172. The listed phone number is (728) 205-7604.

What is Jackson Medical Office LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Jackson Medical Office LLC was last updated on March 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.