Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Other names
Jackson North Medical Center Psy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK T KNIGHT (CHIEF FINANCIAL OFFICER)
(305) 585-7979
Entity
Organization
Contact information
Practice address
160 NW 170TH ST, NORTH MIAMI BEACH, FL 33169-5521
(305) 585-8957
(305) 585-5259
Mailing address
PO BOX 12493, MIAMI, FL 33101-2493
(786) 466-8080
(305) 355-5380
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
3998
FL
273R00000X
Psychiatric Hospital Unit
Primary
3998
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010042102
—
FL
Enumeration date
07/12/2006
Last updated
04/06/2017
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