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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
1314000000XSkilled Nursing FacilitySNF1243096FL

Other Identifiers

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

General Provider Information

NPI Number : 1134116320
Entity Type Code : Organization
Provider Name (Legal Business Name) : PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Provider Business Mailing Address
First Line : 2500 NW 22ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33142-8429
Country : US
Telephone Number : 786-466-3000
Fax Number : 305-638-6856
Provider Business Practice Location Address
First Line : 2500 NW 22ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33142-8429
Country : US
Telephone Number : 786-466-3000
Fax Number : 305-638-6856
Authorized Official
Title or Position : CEO
Name : MR. CARLOS MIGOYA
Credential :
Telephone Number : 305-585-3701
Provider Enumeration Date : 10/03/2005
Last Update Date : 03/09/2023

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1346276581 — PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
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1447277025 — YUVONNE MARTIN
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Directions to “PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA ” Practice Location

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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.