Organization
UNIVERSITY OF MIAMI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP RUIZ M.D.,PHD (DIRECTOR)
(305) 243-9462
Entity
Organization
Contact information
Practice address
1600 NW 10TH AVE, SUITE #8150, MIAMI, FL 33136-1015
(305) 243-3939
(305) 243-4046
Mailing address
1600 NW 10TH AVE, SUITE #8150, MIAMI, FL 33136-1015
(305) 243-3939
(305) 243-4046
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800001596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D0680331
CLIA #
FL
Enumeration date
02/04/2009
Last updated
07/10/2009
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