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NPI Code Detail

MEDICARE: FLORIDA A&M UNIVERSITY

MEDICARE: FLORIDA A&M UNIVERSITY
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
13336C0003XCommunity/Retail PharmacyPH17732FL

General Provider Information

NPI Number : 1497282263
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA A&M UNIVERSITY
Provider Business Mailing Address
First Line : 872 W ORANGE AVE
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32310-6123
Country : US
Telephone Number : 850-606-8250
Fax Number :
Provider Business Practice Location Address
First Line : 872 W ORANGE AVE
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32310-6123
Country : US
Telephone Number : 850-606-8250
Fax Number :
Authorized Official
Title or Position : HIV RESIDENCY DIRECTOR
Name : DR. JOVAN D MILES
Credential : PHARMD
Telephone Number : 850-599-8656
Provider Enumeration Date : 05/11/2017
Last Update Date : 05/11/2017

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Directions to “FLORIDA A&M UNIVERSITY ” Practice Location

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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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