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Organization
FLORIDA INTERNATIONAL UNIVERSITY BOARD OF TRUSTEES
Active
Organization
FLORIDA INTERNATIONAL UNIVERSITY BOARD OF TRUSTEES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH A. JESSELL (FIU CHIEF FINANCIAL OFFICER AND SEN)
(305) 348-2101
Entity
Organization
Contact information
Practice address
800 SW 108TH AVE STE 100, MIAMI, FL 33174-2555
(305) 348-3627
(305) 348-4261
Mailing address
11200 SW 8TH STREET, AHC 2 693, MIAMI, FL 33199
(305) 348-3627
(305) 348-4261
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
—
NULL
207RI0200X
Infectious Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
NULL
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
NULL
207VX0201X
Gynecologic Oncology Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
NULL
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/11/2010
Last updated
08/04/2022
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