Organization
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Active
Other names
Jackson South Community Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENEIDA O ROLDAN M.D. (PRESIDENT CEO)
(305) 585-6754
Entity
Organization
Contact information
Practice address
9333 SW 152 STREET, MIAMI, FL 33157
(305) 256-5180
Mailing address
9333 SW 152 STREET, MIAMI, FL 33157
(305) 256-5180
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
17985
FL
3336I0012X
Institutional Pharmacy
Primary
17986
FL
Other
Enumeration date
11/13/2006
Last updated
06/09/2009
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