Provider Demographics
NPI:1477871069
Name:JACKSON MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:JACKSON MEMORIAL HOSPITAL
Other - Org Name:UNIVERSITY OF MIAMI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OF THORACIC SURGERY
Authorized Official - Prefix:PROF
Authorized Official - First Name:TOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SALERNO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-585-5271
Mailing Address - Street 1:4304 E WHITEWATER AVE
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33332-2409
Mailing Address - Country:US
Mailing Address - Phone:305-585-5271
Mailing Address - Fax:
Practice Address - Street 1:4304 E WHITEWATER AVE
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33332-2409
Practice Address - Country:US
Practice Address - Phone:305-585-5271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access