Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Other names
Behavioral Health DME
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T KNIGHT CFO (EXECUTIVE VP, CFO)
(305) 585-8490
Entity
Organization
Contact information
Practice address
1695 NW 9TH AVE, MIAMI, FL 33136-1409
(305) 585-5261
Mailing address
PO BOX 12493, MIAMI, FL 33101-2493
(305) 585-5315
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003421101
—
FL
Enumeration date
03/10/2022
Last updated
03/10/2022
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