Public Health Trust of Miami Dade County Florida
Organization Active NPI Durable Medical Equipment & Medical Supplies · Miami, FL
NPI 1487300976 · NPPES record last updated Feb 23, 2022
Key facts
- NPI
- 1487300976
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
- Practice address
- 901 NW 17TH St Ste D
Miami, FL 33136-1135 - Phone
- (305) 585-5261
- NPI assigned
- Feb 23, 2022
- Organization subpart
- No
Authorized official
- Name
- Mark T Knight, CFO
- Title
- Executive VP, Cfo
- Phone
- (305) 585-8490
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Dianne M Parker MD
Locations
901 NW 17th St
Ste D
Miami, FL 33136
Phone (305) 585-3996
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
901 NW 17TH St Ste D
Miami, FL 33136-1135
Mailing address
PO Box 12493
Miami, FL 33101-2493
Phone (305) 585-5315
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003419201 | Medicaid | FL |
Other names
- JPS DME
Other providers in Miami, FL
- Public Health Trust of Miami Dade County Florida
- Public Health Trust of Miami Dade County Florida
- Public Health Trust of Miami Dade County Florida
- Public Health Trust of Miami Dade County Florida
- Public Health Trust of Miami Dade County Florida
- Public Health Trust of Miami Dade County Florida
- Public Health Trust of Miami Dade County Florida
- Public Health Trust of Miami Dade County Florida
- Public Health Trust of Miami Dade County Florida
- Public Health Trust of Miami Dade County Florida
All providers in Miami, FL · Durable Medical Equipment & Medical Supplies in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.