PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA (NPI# 1659446839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659446839 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA |
| Other Organization Name | JACKSON NORTH COMMUNITY MENTAL HEALTH CENTER |
| Practice Address |
15055 Nw 27th Ave Opa Locka FL 33054-3365 |
| Practice Telephone | 7864662701 |
| Mailing Telephone | 7864662701 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2009-06-09 |
| Authorized Official Name | DR. ENEIDA O ROLDAN (PRESIDENT CEO) |
| Authorized Official Telephone | 3055856754 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
19439 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Jackson North Community Mental Health 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 |
15055 NW 27TH AVE |
| City | OPA LOCKA |
| State | FL |
| Zip Code | 33054-3365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750397907 | Gerda M Williams | Nurse Practitioner | 15055 Nw 27th Ave, Opa Locka, FL 33054-3365 | 2006-07-31 |
| 1568912889 | Perette Turenne | Nurse Practitioner | 15055 Nw 27th Ave, Opa Locka, FL 33054-3365 | 2016-10-11 |
| 1487102653 | Diane Gilles | Counselor | 15055 Nw 27th Ave, Opa Locka, FL 33054-3365 | 2016-09-16 |
| 1487839148 | Jackson North Community Mental Health Center | Community/Behavioral Health | 15055 Nw 27th Ave, Opa Locka, FL 33054-3365 | 2007-12-31 |
| 1144328329 | Geraldine Mattia | Psychologist | 15055 Nw 27th Ave, Opa Locka, FL 33054-3365 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770148611 | Arc Dialysis North Dade LLC | Clinic/Center | 1986 Opa Locka Blvd, Opa Locka, FL 33054 | 2019-05-07 |
| 1497215735 | Empowering Minds, Inc | Community/Behavioral Health | 13311 Alexandria Dr, Opa Locka, FL 33054 | 2019-03-22 |
| 1366976672 | Center for Family and Child Enrichment Inc. | Community/Behavioral Health | 3999 Northwest 163st, Miami, FL 33054 | 2017-04-13 |
| 1861924748 | Yudeslanni Fernandez Lang | Behavior Technician | 2970 Nw 161 St, Miami, FL 33054 | 2017-03-30 |
| 1811439862 | Ana Alfaro | Behavior Technician | 1155 Kasin St, Opa Locka, FL 33054 | 2016-11-08 |
| 1114376795 | Yanelis Diaz Rodriguez | Behavior Technician | 13920 Nw 22nd Pl, Opa Locka, FL 33054 | 2016-06-06 |
| 1912392986 | Angel Yasiel Ramos | Internal Medicine | 1986 Opa-locka Boulevard, Opa-locka, FL 33054 | 2015-04-06 |
| 1992109409 | Taylor Wilmoth | Specialist/Technologist | 15600 Nw 32nd Avenue, Attn: Taylor Wilmoth, Miami, FL 33054 | 2014-10-13 |
| 1265844997 | J.s Rx Inc | Pharmacy | 1970 Opa Locka Blvd, Opa Locka, FL 33054 | 2014-05-29 |
| 1689877508 | Nuevo Renacer Alf,corp. | Assisted Living Facility | 540 N. Perviz Avenue, Opa Locka, FL 33054 | 2007-06-07 |
| Find all providers in zip 33054 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1114579158 | Doctors Diet Program of South Florida Pllc | Pharmacy | 1501 W Reynolds St, Plant City, FL 33563-4707 | 2019-07-10 |
| 1770007486 | Millenium Clinic Pharmacy Inc | Pharmacy | 12914 Sw 133rd Ct Ste B, Miami, FL 33186-6585 | 2017-08-03 |
| 1902278427 | Metro Treatment of Florida, Lp | Pharmacy | 1415 Homestead Rd, Lehigh Acres, FL 33936-4830 | 2015-10-23 |
| 1942676168 | Trenton Medical Center Inc | Pharmacy | 103 Us Highway 27 Sw, Branford, FL 32008-2767 | 2015-08-12 |
| 1043699044 | Island Rx, LLC | Pharmacy | 90130 Old Hwy Ste 1a, Tavernier, FL 33070-2348 | 2015-05-22 |
| 1528460128 | Doctor Today Tlc, LLC | Pharmacy | 101 Magnolia Ave, Auburndale, FL 33823-4201 | 2014-09-25 |
| 1760881437 | Tampa Family Health Centers Inc | Pharmacy | 6216 E Sligh Avenue, Tampa, FL 33617 | 2014-08-19 |
| Find all providers with the same taxonomy | ||||
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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.