Healthcare Provider Details

I. General information

NPI: 1275456436
Provider Name (Legal Business Name): UIVERSITY OF MIAMI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UHEALTH PHARMACY LENNAR 5555 PONCE DE LEON BLVD SUITE 442A
MIAMI FL
33136
US

IV. Provider business mailing address

UHEALTH PHARMACY LENNAR 5555 PONCE DE LEON BLVD SUITE 442A
MIAMI FL
33136
US

V. Phone/Fax

Practice location:
  • Phone: 305-689-2742
  • Fax:
Mailing address:
  • Phone: 305-689-2742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MONICA JORDAN
Title or Position: AVP GVT REPORTING AND REIMB
Credential:
Phone: 615-405-4901