PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA (NPI# 1760572648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760572648 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA |
| Other Organization Name | SOUTH DADE HOMELESS ASSISTANCE CENTER |
| Practice Address |
28205 Sw 125th Ave Homestead FL 33033-1250 |
| Mailing Address |
1611 Nw 12th Ave Miami FL 33136-1005 |
| Practice Telephone | 3054167149 |
| Practice Fax Number | 3055855259 |
| Mailing Telephone | 3055856357 |
| Mailing Fax Number | 3055850003 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | MR. FRANK J BARRETT (EXECUTIVE VP - CFO) |
| Authorized Official Telephone | 3055857137 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHT 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 | 010042132 | 05 |
| Other Name | Type Code |
|---|---|
| South Dade Homeless Assistance 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 |
28205 SW 125TH AVE |
| City | HOMESTEAD |
| State | FL |
| Zip Code | 33033-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801966676 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 28205 Sw 125th Ave, Homestead, FL 33033-1250 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451832 | Rodolfo Sigler | Pharmacist | 1499 South Dixie Highway, Homestead, FL 33033 | 2019-11-15 |
| 1891337119 | Ricardo Saez | Nurse Practitioner | 2936 Se 3rd Street, Homestead, FL 33033 | 2019-10-09 |
| 1164904876 | Mayrelis Rodriguez Chaviano | Behavior Technician | 1510 E Mowry Dr Apt 107, Homestead, FL 33033 | 2018-08-30 |
| 1598252470 | Mcdivitt Arnold | Community/Behavioral Health | 945 Ne 34 Ave, 104, Homestead, FL 33033 | 2018-04-17 |
| 1972007870 | Anaivys Gomez Abreu | Behavior Technician | 1504 E Mowry Dr Apt 101, Homestead, FL 33033 | 2018-03-23 |
| 1023519261 | Lifeway Programs LLC | Community/Behavioral Health | 15300 Sw 288th St, Homestead, FL 33033 | 2018-02-22 |
| 1447759964 | Yaneisis Salazar Barata | Physical Therapy Assistant | 31 N Krome, Homestead, FL 33033 | 2018-02-10 |
| 1184132763 | C.o.r. Injury Centers of Homestead Inc. | Clinic/Center | 15600 Sw 288th Street, Homestead, FL 33033 | 2018-01-17 |
| 1790299949 | Aidalis Hechavarria | Behavior Technician | 1548 Ne 8th St Apt 105, Homestead, FL 33033 | 2017-11-27 |
| 1053839621 | Generosa E Gonzalez | Behavior Technician | 30322 Sw 161 Ave, Homestead, FL 33033 | 2017-09-05 |
| Find all providers in zip 33033 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1821579384 | Family Medical Clinic Kendall LLC | Clinic/Center | 239 N Krome Ave Ste A, Homestead, FL 33030-6018 | 2018-08-23 |
| 1225066715 | South Care Center Inc | Clinic/Center | 15600 Sw 288 Street, Suite #310, Homestead, FL 33033-1200 | 2006-06-30 |
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| 1487993093 | O & S Medical Inc | Clinic/Center | 950 N Krome Ave, 405, Homestead, FL 33030-4400 | 2013-02-04 |
| 1063730877 | Cac- Florida Medical Centers LLC | Clinic/Center | 650 N Homestead Blvd, Homestead, FL 33030-6210 | 2010-05-04 |
| 1457678526 | Ultimate Diagnostic Center Corp | Clinic/Center | 28870 S Dixie Hwy, Homestead, FL 33033-2405 | 2010-04-28 |
| 1316186984 | Continucare Mdhc, LLC | Clinic/Center | 442 Washington Ave, Homestead, FL 33030-6036 | 2009-02-05 |
| 1598851727 | Mmb Medical Center Corp | Clinic/Center | 125 Ne 8th St, Suite 6, Homestead, FL 33030-4676 | 2006-10-05 |
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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.