PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA


Address: 1611 Nw 12th Ave, Miami, FL 33136-1005
Phone: 3055858957

PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA (NPI# 1831263730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831263730
Entity Type Organization
Organization Name PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Other Organization Name JACKSON MEMORIAL HOSPITAL PODIATRY
Practice Address 1611 Nw 12th Ave
Miami
FL 33136-1005
Practice Telephone 3055858957
Practice Fax Number 3055855259
Mailing Telephone 3055858957
Mailing Fax Number 3055855259
Enumeration Date 2006-11-20
Last Update Date 2008-06-19
Authorized Official Name FRANK J BARRETT (EXECUTIVE VP, CFO)
Authorized Official Telephone 3055857137
Is Organization Subpart Y
Parent Organization Name PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Parent Organization TIN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 010042110 05

Other Provider/Organization Names

Other Name Type Code
Jackson Memorial Hospital Podiatry Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1611 NW 12TH AVE
City MIAMI
State FL
Zip Code 33136-1005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740286251 Karen Chitty Emergency Medicine 1611 Nw 12th Ave, Miami, FL 33136-1005 2005-06-21
1558968263 Natalie Dinger Nurse Practitioner 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-10-06
1306452057 Ryan M Bukhari Dentist 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-09-18
1467068155 Hussien Touny Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-09-18
1912512310 Clementina Aurora Cabrera Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-09-11
1184237265 Kencya Toussaint Nurse Practitioner 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-08-28
1568075976 Manuel Molina Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-08-25
1063025468 Carlos Federico Moral Ortega Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-08-25
1770195919 Ezekiel Oluwasayo Ijaopo Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-08-19
1568070258 Virosh Dharmadasa Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-07-19
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 213EP1101X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Primary Podiatric Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780725473 Cantor & Hochman Pa Podiatrist 13878 Sw 88th St, Miami, FL 33186-1304 2007-02-08
1932158177 Patricia M Rosas-guyon Podiatrist 631 Sw 23rd Rd, Miami, FL 33129-1929 2006-05-06
1427038538 Richard Florian Mercado Podiatrist 2597 Sw 87th Ave, Miami, FL 33165-2082 2006-01-17
1588176671 Eugene Pastorius Jr. Podiatrist 1201 Nw 16th St, Miami, FL 33125-1624 2017-10-30
1982050266 Abiola J. Oki Podiatrist 3659 S Miami Ave Ste 3008, Miami, FL 33133-4225 2016-05-05
1639460033 Alf Podiatry Care, LLC Podiatrist 631 Sw 23rd Rd, Miami, FL 33129-1929 2011-04-20
1982891834 Mirta Hernandez, Dpm Pa Podiatrist 1786 W Flagler St, Miami, FL 33135-2017 2007-09-25
1730250457 Mirta Hernandez Podiatrist 1786 W Flagler St, Miami, FL 33135-2017 2006-11-13
1821017799 Ray Hyo Il Kim Podiatrist 9055 Sw 87th Ave, Ste 305, Miami, FL 33176-2306 2006-07-19
1457309502 Monica Risicato Alexis-califano Podiatrist 2135 Sw 8th St, Miami, FL 33135-3319 2006-05-04
Find all providers in MIAMI

Competitor

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City MIAMI
Zip Code 33136

Improve Information

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Dataset Information

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.

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