Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Parent organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY
Other names
Jackson Health Systems Jackson Memorial Hospita
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
1611 NW 12TH STREET, MIAMI, FL 33136-1005
(305) 585-8957
(305) 585-5137
Mailing address
PO BOX 12493, MIAMI, FL 33101-2493
(786) 466-8080
(305) 355-5380
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
3998
FL
282N00000X
General Acute Care Hospital
AHCA # 3998
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010042100
—
FL
05
—
010042101
—
FL
05
—
010042146
—
FL
Enumeration date
06/17/2005
Last updated
04/06/2017
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