Organization
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Active
Other names
Jackson North Community Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENEIDA O ROLDAN MD (PRESIDENT CEO)
(305) 585-6754
Entity
Organization
Contact information
Practice address
15055 NW 27TH AVE, OPA LOCKA, FL 33054-3365
(786) 466-2701
Mailing address
15055 NW 27TH AVE, OPA LOCKA, FL 33054-3365
(786) 466-2701
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
19439
FL
Other
Enumeration date
11/22/2006
Last updated
06/09/2009
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