Organization
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Active
Other names
Jackson Memorial Hospital
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
1611 NW 12TH AVE, PHARMACY ROOM WEST WING B-10, MIAMI, FL 33136-1005
(305) 585-7458
Mailing address
1611 NW 12TH AVE, PHARMACY ROOM ET BASEMENT 069, MIAMI, FL 33136-1005
(305) 585-7458
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
0829
FL
3336S0011X
Specialty Pharmacy
0829
FL
Other
Enumeration date
11/17/2006
Last updated
06/09/2009
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