Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Parent organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Other names
JACKSON WEST
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Authorized official
MARK T KNIGHT (EVP CFO)
(305) 585-7979
Entity
Organization
Contact information
Practice address
2801 NW 79TH AVE, DORAL, FL 33122-1174
(305) 585-0417
Mailing address
PO BOX 12493, MIAMI, FL 33101-2493
(305) 585-0417
(305) 355-2420
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109041400
—
FL
Enumeration date
09/08/2020
Last updated
08/31/2021
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