Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Other names
Jackson Health System Infusion Services
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A MIGOYA (PRESIDENT AND CEO)
(305) 585-6754
Entity
Organization
Contact information
Practice address
1611 NW 12TH AVE STE T-277, MIAMI, FL 33136-1005
(305) 585-5261
Mailing address
PO BOX 12493, MIAMI, FL 33101-2493
(305) 585-5315
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH35124
PHARMACY LICENSE
FL
Enumeration date
05/24/2024
Last updated
01/31/2025
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