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NPI Code Detail

MEDICARE: PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA

MEDICARE: PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
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
1333600000XPharmacy
23336L0003XLong Term Care PharmacyPH8034FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11026093OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346276581
Entity Type Code : Organization
Provider Name (Legal Business Name) : PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Provider Business Mailing Address
First Line : 2500 NW 22ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33142-8429
Country : US
Telephone Number : 786-466-3000
Fax Number : 305-638-6880
Provider Business Practice Location Address
First Line : 2500 NW 22ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33142-8429
Country : US
Telephone Number : 786-466-3000
Fax Number : 305-638-6880
Authorized Official
Title or Position : CONSULTANT PHARMACIST
Name : JOSE ACOSTA
Credential : PHARMD, CPH
Telephone Number : 786-466-3000
Provider Enumeration Date : 06/22/2006
Last Update Date : 04/18/2012

Similar Medicare Providers

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Practice Location Address:
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1134116320 — PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Practice Location Address:
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1033136007 — DR. RENAUD SAINT-VIL M.D
Practice Location Address:
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1447277025 — YUVONNE MARTIN
Practice Location Address:
2500 NW 22ND AVE
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1144240276 — DR. JOSE LUIS ACOSTA PHARM.D., C.PH.
Practice Location Address:
2500 NW 22ND AVE
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33142-8429
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Practice Fax: 305-638-6880
1891709580 — MR. JOSE RAMON VALIENTE RPH,CPH
Practice Location Address:
2500 NW 22ND AVE
MIAMI, FL
33142-8429
Practice Phone: 786-466-3000
Practice Fax: 305-638-6880

Directions to “PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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