Organization · Type 2 NPI

Public Health Trust of Miami Dade County Florida

Community Health Clinic/Center · Homestead, FL

NPI number 1801966676 Active

Practice location

28205 SW 125th Ave
Homestead, FL 33033-1250

Call (305) 416-7149 Map

Fax (305) 585-5259

Mailing address

PO Box 12493
Miami, FL 33101-2493

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center Primary	261QC1500X	None listed

Community Health Clinic/Center: Definition to come...

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NPI record

NPI: 1801966676
Entity type: Organization (Type 2)
Issued: Nov 9, 2006
Last updated: Apr 6, 2017
Status: Active
Subpart: Yes of Public Health Trust of Miami Dade County

Other names

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South Dade Homeless Assistance Center · doing business as

Authorized official

Mr. Mark T Knight
Chief Financial Officer
(305) 585-7979

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1801966676

Public Health Trust of Miami Dade County Florida's National Provider Identifier is 1801966676, issued on Nov 9, 2006. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Homestead, FL. The record was last updated on Apr 6, 2017.