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CAN100079-47 UNIVERSITY OF MIAMI HOSPITAL AND CLINICS (Terminated)
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Main Details
Name
UNIVERSITY OF MIAMI HOSPITAL AND CLINICS
Subdivision Name
UMHC: Oncology Clinic - Hollywood / Nutrition
Type
Free Standing Cancer Hospital
Rural
No
340B ID
CAN100079-47
Medicare Provider Number
100079
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/17/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/20/2016
Last Recertification Date
Termination Date
Termination Reason
10/1/2017
Site closure
Contacts
Authorizing Official
University of Miami Hospital and Clinics
Kymberlee Manni, CEO
(305) 689-4515
Primary Contact
University of Miami Hospital and Clinics
Blanca Rivera, Associate Vice President, UHealth Pharmacy Services
(305) 689-5630
Addresses
Street Address
3850 Hollywood BLVD
Presidential Circle, Suite 1B
Hollywood, FL 33021
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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