MEDICARE: PUBLIC HEALTH TRUST OF 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
1	208000000X	Pediatrics Physician
2	208D00000X	General Practice Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1720756737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PUBLIC HEALTH TRUST OF 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	:	9380 SW 150TH ST STE 295
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-7979
Country	:	US
Telephone Number	:	305-256-5018
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE VP, CFO
Name	:	MARK T KNIGHT
Credential	:	CFO
Telephone Number	:	305-585-8490

Provider Enumeration Date	:	09/03/2021
Last Update Date	:	12/29/2025

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Directions to “PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA ” Practice Location

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