# PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHT OF DADE COUNTY FLORIDA
- **Other names:** Jackson Infant Toddler Center Professional
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811040249
- **Legal business name:** PHT OF DADE COUNTY FLORIDA
- **Authorized official:** MR. MARK T KNIGHT (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (305) 585-7979

## Contact information

- **Practice address:** 1477 NW 8TH AVE, MIAMI, FL 33136-1425
- **Practice address phone:** (305) 547-2500
- **Practice address fax:** (305) 547-2673
- **Mailing address:** PO BOX 12493, MIAMI, FL 33101-2493
- **Mailing address phone:** (786) 466-8080
- **Mailing address fax:** (305) 355-2377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM3000X | Medically Fragile Infants and Children Day Care | 6002096 | FL | — |
| 261QU0200X | Urgent Care Clinic/Center | 6002096 | FL | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 04/06/2017