Healthcare Provider Details

I. General information

NPI: 1518897792
Provider Name (Legal Business Name): HSA NORTH SHORE MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 NW 95TH ST
MIAMI FL
33150-2038
US

IV. Provider business mailing address

1100 NW 95TH ST
MIAMI FL
33150-2038
US

V. Phone/Fax

Practice location:
  • Phone: 305-835-6175
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DONTRELL SMITH
Title or Position: MANAGER, PATIENT ACCESS
Credential:
Phone: 305-835-6146