Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Parent organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY
Other names
PHT Dr Rafael A Penalver Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY
Authorized official
MR. MARK T KNIGHT (CHIEF FINANCIAL OFFICER)
(305) 585-7979
Entity
Organization
Contact information
Practice address
971 NW 2ND ST, MIAMI, FL 33128-1205
(305) 585-5455
(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
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010042134
—
FL
Enumeration date
11/17/2006
Last updated
04/06/2017
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