Provider Demographics
NPI:1104271923
Name:AVENTURA HOSPITAL AND MEDICAL CENTER
Entity type:Organization
Organization Name:AVENTURA HOSPITAL AND MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:NODILEE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-466-4008
Mailing Address - Street 1:950 BRICKELL BAY DR
Mailing Address - Street 2:APT 3005
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3931
Mailing Address - Country:US
Mailing Address - Phone:307-217-0615
Mailing Address - Fax:
Practice Address - Street 1:950 BRICKELL BAY DR
Practice Address - Street 2:APT 3005
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3931
Practice Address - Country:US
Practice Address - Phone:307-217-0615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-29
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty