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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