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CAN100079-93 UNIVERSITY OF MIAMI HOSPITAL AND CLINICS (Active)
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Main Details
Name
UNIVERSITY OF MIAMI HOSPITAL AND CLINICS
Subdivision Name
UMHC: Lennar Radiology - Radiology
Type
Free Standing Cancer Hospital
Rural
No
340B ID
CAN100079-93
Medicare Provider Number
100079
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/23/2018
Last Recertification Date
8/22/2024
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
5555 Ponce de Leon Boulevard
1st Floor
Coral Gables, FL 33146
Billing Address
University of Miami Hospital and Clinics-Lennar
5555 Ponce de Leon Boulevard
442
Coral Gables, FL 33146
Comments
Medicaid Billing
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Contract Pharmacies
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