Provider Demographics
NPI:1134402696
Name:UNIVERSITY OF MIAMI
Entity type:Organization
Organization Name:UNIVERSITY OF MIAMI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR, BUSINESS DEVELO
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-243-2370
Mailing Address - Street 1:5513 MERRICK DR
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2531
Mailing Address - Country:US
Mailing Address - Phone:305-284-5921
Mailing Address - Fax:305-284-4905
Practice Address - Street 1:5513 MERRICK DR
Practice Address - Street 2:1ST FLOOR
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2531
Practice Address - Country:US
Practice Address - Phone:305-284-5921
Practice Address - Fax:305-284-4905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty