PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA (NPI# 1174633671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174633671 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA |
| Other Organization Name | PREVENTION EDUCATION TREATMENT PET CENTER |
| Practice Address |
615 Collins Ave Miami Beach FL 33139-6213 |
| Mailing Address |
1611 Nw 12th Ave Acc East 116a Miami FL 33136-1005 |
| Practice Telephone | 3055355540 |
| Practice Fax Number | 3055355561 |
| Mailing Telephone | 3055855242 |
| Mailing Fax Number | 3055854946 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | MR. FRANK J BARRETT (CHIEF FINACIAL OFFICER) |
| Authorized Official Telephone | 3055857137 |
| Is Organization Subpart | Y |
| Parent Organization Name | PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010042141 | 05 |
| Other Name | Type Code |
|---|---|
| Prevention Education Treatment PET Center | 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 |
| 1124062542 | Public Health Trust of Dade County Florida | Anesthesiology | 1611 Nw 12th Avenue, Miami, FL 33136 | 2006-06-15 |
| 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 |
| Street Address |
615 COLLINS AVE |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33139-6213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508979030 | Elena Casanova | Dentist | 615 Collins Ave, Miami Beach, FL 33139-6213 | 2006-08-17 |
| 1124366000 | Blanca Ximena Jimenez | Dietitian, Registered | 615 Collins Ave, Miami Beach, FL 33139-6213 | 2013-01-28 |
| 1508946401 | Nancy Maria Gutierrez | General Practice | 615 Collins Ave, Miami Beach, FL 33139-6213 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973061 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 709 Alton Road Suite 430, Miami Beach, FL 33139 | 2019-10-14 |
| 1811548308 | Yoel O Guerra | Behavior Technician | 800 West Ave Apt 942, Miami Beach, FL 33139 | 2019-09-25 |
| 1285153239 | Stella Kocovic Villacorta | Internal Medicine | 709 Alton Road, Suite 440, Miami Beach, FL 33139 | 2017-09-11 |
| 1922524164 | Noel De Leon | Pharmacist | 730 15 Street Apt 1-d, Miami Beach, FL 33139 | 2017-08-18 |
| 1861916868 | Susana Cruz | Behavior Technician | 710 Washinghton Ave Apt# 223, Miami Beach, FL 33139 | 2017-08-01 |
| 1730627530 | Viviana Yerex | Behavior Technician | 800 West Ave. Apt. 602, Miami Beach, FL 33139 | 2017-02-01 |
| 1841662921 | Miami Beach Holistic Addiction Treatment Center | Substance Abuse Rehabilitation Facility | 309 23rd Street Ste 200-c, Miami Beach, FL 33139 | 2015-10-28 |
| 1609245778 | Borinquen Health Care Center Inc | Clinic/Center | 1050 4th Street, South Pointe Elementary, Miami Beach, FL 33139 | 2015-09-18 |
| 1558730622 | Borinquen Health Care Center Inc | Clinic/Center | 1420 Washington Avenue, Fienberg Fisher K-8, Miami Beach, FL 33139 | 2015-09-18 |
| 1407238603 | Wayne Holman | General Practice | 500 South Pointe Drive Suite 220, C/o Ridgeback Capital Management, Miami Beach, FL 33139 | 2015-06-24 |
| Find all providers in zip 33139 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1235641770 | Tristar Wellness, LLC | Clinic/Center | 400 W 41st St Ste 402, Miami Beach, FL 33140-3500 | 2017-10-24 |
| 1649704677 | Miami Beach Medical Consultants LLC | Clinic/Center | 4308 Alton Rd, Suite 860, Miami Beach, FL 33140-4556 | 2017-04-17 |
| 1174961833 | Doctors Alliance Group | Clinic/Center | 400 W 41st St, 103, Miami Beach, FL 33140-3516 | 2013-06-04 |
| 1417271362 | Howard Abrahams Dmd Pa | Clinic/Center | 960 Arthur Godfrey Rd, Suite 400, Miami Beach, FL 33140-3326 | 2010-03-22 |
| 1326103532 | Primary Care Physicians Group | Clinic/Center | 4308 Alton Road, Suite 860, Miami Beach, FL 33140-2910 | 2006-12-27 |
| 1720154123 | Life Care Center Inc | Clinic/Center | 300 W 41st St, Miami Beach, FL 33140-3637 | 2006-11-28 |
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| 1932718509 | Coral Diagnostic Center Inc | Clinic/Center | 12002 Sw 128th Ct Ste 202, Miami, FL 33186-4643 | 2020-07-29 |
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| 1629699889 | Comprehensive Cardiovascular Institute, Pllc | Clinic/Center | 17 Davis Blvd Ste 313, Tampa, FL 33606-3438 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI BEACH |
| Zip Code | 33139 |
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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.