Organization
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Active
Other names
JACKSON MEMORIAL HOSP-HIGHLAND PARK
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN NEMEROFF (ASSOCIATE DIRECTOR PHARMACY)
(305) 585-6780
Entity
Organization
Contact information
Practice address
1695 NW 9TH AVE, MIAMI, FL 33136-1409
(305) 355-7203
(806) 242-0502
Mailing address
PO BOX 864781, ORLANDO, FL 32886-4781
(806) 324-5507
(806) 324-5495
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH10582
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003421100
—
FL
05
—
003421101
—
FL
01
—
2009218
PK
—
Enumeration date
11/17/2006
Last updated
03/18/2019
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