Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Parent organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY
Other names
Jefferson Reaves Sr Health Center
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
1009 NW 5TH AVE, MIAMI, FL 33136-3212
(786) 466-4000
(305) 577-1085
Mailing address
PO BOX 12493, MIAMI, FL 33101-2493
(786) 466-8080
(305) 355-5380
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010042127
—
FL
Enumeration date
11/27/2006
Last updated
04/06/2017
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