Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Parent organization
PHT OF DADE COUNTY FLORIDA
Other names
Jackson Infant Toddler Center Professional
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHT OF DADE COUNTY FLORIDA
Authorized official
MR. MARK T KNIGHT (CHIEF FINANCIAL OFFICER)
(305) 585-7979
Entity
Organization
Contact information
Practice address
1477 NW 8TH AVE, MIAMI, FL 33136-1425
(305) 547-2500
(305) 547-2673
Mailing address
PO BOX 12493, MIAMI, FL 33101-2493
(786) 466-8080
(305) 355-2377
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
6002096
FL
261QU0200X
Urgent Care Clinic/Center
Primary
6002096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005200
—
FL
Enumeration date
01/19/2007
Last updated
04/06/2017
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