MEDICARE: UNIVERSITY OF MIAMI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	200706483	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346317039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF MIAMI

Provider Business Mailing Address
First Line	:	7103 FAIRWAY DR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3701
Country	:	US
Telephone Number	:	561-515-1500
Fax Number	:	305-243-8470

Provider Business Practice Location Address
First Line	:	7103 FAIRWAY DR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3701
Country	:	US
Telephone Number	:	561-515-1500
Fax Number	:	305-243-8470

Authorized Official
Title or Position	:	PROVIDER ENROLLMENT MANAGER
Name	:	CESIA A SANCHEZ
Credential	:
Telephone Number	:	305-243-6837

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	12/31/2019

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Directions to “UNIVERSITY OF MIAMI ” Practice Location

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