PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA (NPI# 1871705558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871705558 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA |
| Other Organization Name | JACKSON NORTH SPECIALTY & DIAGNOSTIC CENTER |
| Practice Address |
14701 Nw 27th Ave Opa Locka FL 33054-3350 |
| Mailing Address |
1611 Nw 12th Ave Miami FL 33136-1005 |
| Practice Telephone | 7864661000 |
| Practice Fax Number | 3057691896 |
| Mailing Telephone | 3055858957 |
| Mailing Fax Number | 3055855259 |
| Enumeration Date | 2007-05-04 |
| 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 | PUBLIC HEALTH TRUST OF DADE COUNTY |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
3998 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014042200 | 05 |
| Other Name | Type Code |
|---|---|
| Jackson North Specialty & Diagnostic Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1487805651 | Public Health Trust of Dade County Florida | Clinic/Center | 20201 Nw 37th Ave, Miami Gardens, FL 33056-1755 | 2008-10-07 |
| Street Address |
14701 NW 27TH AVE |
| City | OPA LOCKA |
| State | FL |
| Zip Code | 33054-3350 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821047424 | Florida Care Plus Medical Center | Clinic/Center | 1980 Opa Locka Blvd, Opa Locka, FL 33054-4226 | 2006-05-09 |
| 1437223856 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2006-11-17 |
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| 1306461447 | Elevate Medical Fort Myers, LLC | Clinic/Center | 1850 Boy Scout Dr Ste A102, Fort Myers, FL 33907-2127 | 2020-06-15 |
| 1629699889 | Comprehensive Cardiovascular Institute, Pllc | Clinic/Center | 17 Davis Blvd Ste 313, Tampa, FL 33606-3438 | 2020-04-29 |
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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.