Belliaminowa Jackson

Pediatrics Physician · Pembroke Pines, FL

Organization Active NPI

NPI number 1639588031

Practice location

17761 SW 2ND St
Pembroke Pines, FL 33029-3924
Phone
(786) 484-0088
Fax
(786) 484-0190

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NPI record

NPI
1639588031
Entity type
Organization (Type 2)
Enumeration date
August 11, 2014
Last updated
August 11, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X ME87240 FL

Authorized official

Name
Belliaminowa Jackson, M.D
Title
Pediatrician
Phone
(786) 484-0088

About Belliaminowa Jackson

Belliaminowa Jackson is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 17761 SW 2ND St, Pembroke Pines, FL 33029-3924. The NPI number 1639588031 was assigned on August 11, 2014 and the record was last updated on August 11, 2014.

Belliaminowa Jackson lists a license in the registry: #ME87240 (FL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Belliaminowa Jackson, M.D, Pediatrician.

Frequently asked questions

What is the NPI number of Belliaminowa Jackson?

The NPI number is 1639588031.

What is the phone number of Belliaminowa Jackson?

The phone number listed for the practice location is (786) 484-0088.

Where is Belliaminowa Jackson located?

17761 SW 2ND St, Pembroke Pines, FL 33029-3924.

What is the taxonomy code for Belliaminowa Jackson?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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