Healthcare Provider Details

I. General information

NPI: 1235063801
Provider Name (Legal Business Name): UNIVERSITY OF MIAMI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 SOLE MIA WAY RM 1003
NORTH MIAMI FL
33181-2492
US

IV. Provider business mailing address

2111 SOLE MIA WAY RM 1003
NORTH MIAMI FL
33181-2492
US

V. Phone/Fax

Practice location:
  • Phone: 305-284-4922
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

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