Provider Demographics
NPI:1275711616
Name:UNIVERSITY OF MIAMI
Entity Type:Organization
Organization Name:UNIVERSITY OF MIAMI
Other - Org Name:JACKSON MEMORIAL HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:AKIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TEKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-355-5006
Mailing Address - Street 1:1801 NW 9TH AVE FL 5
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1125
Mailing Address - Country:US
Mailing Address - Phone:305-355-5006
Mailing Address - Fax:
Practice Address - Street 1:1801 NW 9TH AVE FL 5
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1125
Practice Address - Country:US
Practice Address - Phone:305-355-5006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100889282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital