LETICIA JACKSON PA
Nursing at 112 St, Miami, FL

License number
Florida ARNP3326732
Category
Nursing
Type
Nurse Practitioner
Owner
Name: LETICIA JACKSON ARNP
Title: PRESIDENT
Phone: (786) 624-9333
Address
Address
12973 SW 112Th St SUITE 144, Miami, FL 33186
National Provider ID: 1548672322
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LETICIA JACKSON PA at bizstanding.com

Leticia Jackson, PA

12973 SW 112 St, Miami, FL 33186

Status:
Inactive
Registration:
Jun 14, 2013
State ID:
P13000051618
Business type:
Domestic for Profit Corporation
Secretary, President:
Leticia Jackson Secretary, President, inactive

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