| Public Health Trust Of Dade County Florida | |
|
19590 Old Cutler Rd Cutler Bay FL 33157-8048 | |
| (786) 466-3500 | |
| Not Available |
| Full Name | Public Health Trust Of Dade County Florida |
|---|---|
| Speciality | Pediatrics |
| Location | 19590 Old Cutler Rd, Cutler Bay, Florida |
| Authorized Official Name and Position | Mark T Knight (EXECUTIVE VP, CFO) |
| Authorized Official Contact | 3055857979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Public Health Trust Of Dade County Florida Po Box 12493 Miami FL 33101-2493 Ph: (305) 585-5315 | Public Health Trust Of Dade County Florida 19590 Old Cutler Rd Cutler Bay FL 33157-8048 Ph: (786) 466-3500 |
| NPI Number | 1730856279 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730856279 | NPI | - | NPPES |
| 000957211 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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