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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