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Organization
JESSIE TRICE COMMUNITY HEALTH SYSTEM INC
Active
Organization
JESSIE TRICE COMMUNITY HEALTH SYSTEM INC
Active
Other names
Jessie Trice Community Health Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNIE NEASMAN (PRESIDENT/CEO)
(305) 805-1700
Entity
Organization
Contact information
Practice address
5607 NW 27TH AVE STE 1, MIAMI, FL 33142-2826
(305) 805-1700
(305) 805-1715
Mailing address
5607 NW 27TH AVE STE 1, MIAMI, FL 33142-2826
(305) 805-1700
(305) 805-1715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN12903
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072897700
—
FL
Enumeration date
06/04/2015
Last updated
01/26/2018
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