PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA (NPI# 1124062542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124062542 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA |
| Other Organization Name | PHT JMH PROFESSIONAL FEES |
| Practice Address |
1611 Nw 12th Avenue Miami FL 33136 |
| Mailing Address |
Po Box 918757 Orlando FL 32891-8757 |
| Practice Telephone | 3055858957 |
| Practice Fax Number | 3055855259 |
| Mailing Telephone | 3055858957 |
| Mailing Fax Number | 3055855259 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | MR. FRANK J. BARRETT (EXEC. VP, CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3055857137 |
| Is Organization Subpart | Y |
| Parent Organization Name | PUBLIC HEALTH TRUST OF DADE COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 3998 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 3998 | FL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 3998 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010042111 | 05 |
| Other Name | Type Code |
|---|---|
| PHT JMH Professional Fees | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871705558 | Public Health Trust of Dade County Florida | Clinic/Center | 14701 Nw 27th Ave, Opa Locka, FL 33054-3350 | 2007-05-04 |
| 1427120856 | Public Health Trust of Dade County Florida | Clinic/Center | 1660 Nw 7th Ct, Highland Pavillion, Miami, FL 33136-1420 | 2006-11-14 |
| 1194897421 | Public Health Trust of Dade County Florida | Legal Medicine | 1851 Nw 10th Ave, Miami, FL 33136-1054 | 2006-11-14 |
| 1295806727 | Public Health Trust of Dade County Florida | Pharmacy | 9333 Sw 152 Street, Miami, FL 33157 | 2006-11-13 |
| 1790856458 | Public Health Trust of Dade County Florida | Pharmacy | 901 Nw 17th St Ste D, Miami, FL 33136-1135 | 2006-11-13 |
| 1134116320 | Public Health Trust of Dade County Florida | Skilled Nursing Facility | 2500 Nw 22nd Ave, Miami, FL 33142-8429 | 2005-10-03 |
| 1710358163 | Public Health Trust of Dade County Florida | Clinic/Center | 615 5th St, Miami Beach, FL 33139-6515 | 2015-10-12 |
| 1053789313 | Public Health Trust of Dade County Florida | Pharmacy | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2015-09-03 |
| 1831340900 | Public Health Trust of Dade County Florida | Clinic/Center | 20201 Nw 37th Ave, Miami Gardens, FL 33056-1755 | 2008-10-07 |
| 1487805651 | Public Health Trust of Dade County Florida | Clinic/Center | 20201 Nw 37th Ave, Miami Gardens, FL 33056-1755 | 2008-10-07 |
| Street Address |
1611 NW 12TH AVENUE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378681 | Jayati Pal | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Avenue, Miami, FL 33136 | 2020-05-21 |
| 1184245292 | Luis German Trujillo Arvizu | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Avenue, Central 600-d, Miami, FL 33136 | 2020-04-29 |
| 1548880065 | Rafael Hennemann Sassi | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Avenue, Miami, FL 33136 | 2020-04-24 |
| 1881214401 | Karla Lilibeth Inestroza | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Avenue, Central Room 600-d, Miami, FL 33136 | 2020-04-23 |
| 1669092821 | Rodolfo Prado Torres | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Avenue, Suite C300 University of Miami Department of Anesthesio, Miami, FL 33136 | 2020-04-17 |
| 1083233191 | Guil Rozenbaum Lerner | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Avenue, Miami, FL 33136 | 2020-04-09 |
| 1851920235 | Jesus Antonio Ocejo Gallegos | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Avenue, Central Room #600-d, Miami, FL 33136 | 2020-04-07 |
| 1669000337 | Mariana Rubini Silva Ceschim | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Avenue, Suite C300, Miami, FL 33136 | 2020-03-30 |
| 1972169779 | Chanique Trevia James | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Avenue, Miami, FL 33136 | 2019-05-16 |
| 1124683164 | Paolo Vincenzi | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Avenue, Miami, FL 33136 | 2019-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235756297 | Floridian Physicians | Internal Medicine | 4960 Sw 72nd Ave Ste 206, Miami, FL 33155-5549 | 2020-06-25 |
| 1437773918 | Elite Med Center Corp | Internal Medicine | 13155 Sw 134th St Ste 221, Miami, FL 33186-4489 | 2020-06-01 |
| 1841832359 | Haytham Elgammal | Internal Medicine | 7031 Sw 62nd, Miami, FL 33143 | 2019-10-16 |
| 1538714282 | Centrum Medical Holdings, LLC | Internal Medicine | 7600 Nw 19th St Ste 400, Miami, FL 33126-1219 | 2019-08-08 |
| 1659933182 | South Florida Healthcare Practitioners | Internal Medicine | 1040 Biscayne Blvd Apt 1506, Miami, FL 33132-1725 | 2019-07-04 |
| 1134781263 | Surgiclear | Internal Medicine | 1011 Ives Dairy Rd Ste 107, Miami, FL 33179-2536 | 2019-06-28 |
| 1811557523 | Luis Rene Velazquez | Internal Medicine | 8520 Sw 149th Ave Apt 1015, Miami, FL 33193-1446 | 2019-06-14 |
| 1881252088 | Miguel A Mujica-baella Md Pa | Internal Medicine | 15590 Sw 42nd Ln, Miami, FL 33185-4209 | 2019-06-03 |
| 1699249177 | Munia and Associates LLC | Internal Medicine | 9195 Sw 72nd St Ste 210, Miami, FL 33173-3488 | 2019-01-17 |
| 1174094361 | I.vizion | Internal Medicine | 7341 Nw 32nd Ave, Miami, FL 33147-5801 | 2018-12-16 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.