Public Health Trust of Dade County Florida
Organization Active NPI Institutional Pharmacy · Miami, FL
NPI 1679647176 · NPPES record last updated Jun 9, 2009
Key facts
- NPI
- 1679647176
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Institutional Pharmacy 3336I0012X
- License
- 0829 (FL)
- Legal business name
- PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
- Practice address
- 1611 NW 12TH Ave
Pharmacy Room West Wing B-10
Miami, FL 33136-1005 - Phone
- (305) 585-7458
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Eneida O Roldan, M.D.
- Title
- President Ceo
- Phone
- (305) 585-6754
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Dianne M Parker MD
Locations
1611 NW 12th Ave
Rm Et
Miami, FL 33136
1611 NW 12th Ave
Rm W
Miami, FL 33136
Phone (305) 585-7458
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | 0829 | FL | Yes |
| Specialty Pharmacy | 3336S0011X | 0829 | FL |
Addresses
Primary practice location
1611 NW 12TH Ave
Pharmacy Room West Wing B-10
Miami, FL 33136-1005
Mailing address
1611 NW 12TH Ave
Pharmacy Room Et Basement 069
Miami, FL 33136-1005
Phone (305) 585-7458
Other names
- Jackson Memorial Hospital
Other providers in Miami, FL
- Public Health Trust of Dade County Florida
- Public Health Trust of Dade County Florida
- Public Health Trust of Dade County Florida
- Public Health Trust of Dade County Florida
- Public Health Trust of Dade County Florida
- Public Health Trust of Dade County Florida
- Public Health Trust of Dade County Florida
- Public Health Trust of Dade County Florida
- Public Health Trust of Dade County Florida
- Public Health Trust of Dade County Florida
All providers in Miami, FL · Institutional Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.