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Organization

UNIVERSITY OF MIAMI

Active
Other names
CHCP-UMED-Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE ROWELL (EX DIRECTOR, MANAGED CARE/BUSINESS)
(305) 243-6837
Entity
Organization

Contact information

Practice address
1601 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-7688
(305) 243-8470
Mailing address
1601 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-7688
(305) 243-8470

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0730734-00
FL
Enumeration date
05/12/2006
Last updated
11/10/2011
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