PMC JACKSON SOUTH, LLC – Clinic/Center, NPI 1043469232

PMC JACKSON SOUTH, LLC is a healthcare provider. based in Miami, Florida. specializing in Clinic/Center. The NPI Number for PMC JACKSON SOUTH, LLC is 1043469232

Main info

Organization
Name
PMC JACKSON SOUTH, LLC
NPI
1043469232
Phone
(305) 253-2665
Address
9380 SW 150TH ST STE 100
Authorized Official
MR. SPENCER ANGEL MNG MBR
Enumeration Date
12 September 2008
Last Update Date
12 September 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:17State licenses:0Digital endpointsOther names

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Provider Addresses for PMC JACKSON SOUTH, LLC

  • Southwest 150th Street, Miami-Dade County, Florida, United States

    MIAMI, FL 331767979

    Phone: (305) 253-2665

    Type: Location

  • 12550 BISCAYNE BLVD STE 500

    NORTH MIAMI, FL 331812544

    Phone: (305) 868-7180

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33176)

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Reviews

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Frequently asked questions

How do I look up PMC JACKSON SOUTH, LLC by NPI?
Use NPI 1043469232 when you need to reference PMC JACKSON SOUTH, LLC in forms, claims, or directories.
Is PMC JACKSON SOUTH, LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does PMC JACKSON SOUTH, LLC list a primary specialty?
If you are matching referrals, note Clinic/Center for PMC JACKSON SOUTH, LLC. Clinical services aligned with this taxonomy classification.
Where is PMC JACKSON SOUTH, LLC's primary listing?
We display Miami, Florida because that is what the record indicates for PMC JACKSON SOUTH, LLC.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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