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NPI Code Detail

MEDICARE: PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA

MEDICARE: PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPH0008215FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22011957OTHERPK
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568578367
Entity Type Code : Organization
Provider Name (Legal Business Name) : PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Provider Business Mailing Address
First Line : PO BOX 12493
Second Line :
City : MIAMI
State : FL
Zip : 33101-2493
Country : US
Telephone Number : 305-585-5315
Fax Number :
Provider Business Practice Location Address
First Line : 901 NW 17TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33136-1135
Country : US
Telephone Number : 305-585-5890
Fax Number : 305-585-0088
Authorized Official
Title or Position : EVP CHIEF FINANCIAL OFFICER
Name : MARK T KNIGHT
Credential :
Telephone Number : 305-585-7979
Provider Enumeration Date : 08/22/2006
Last Update Date : 04/05/2024

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1790856458 — PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
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1730465352 — ANN BATES LEACH HOSPITAL/BASCOM PALMER EYE INSTITUTE
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1699052340 — ELIZABETH BROOKE RYAN ARNP
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1144847302 — EDUARDO ANCIZAR RPHT, CPHT-ADV
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Directions to “PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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