OrganizationPublic Health Trust Of Miami Dade County Florida(<Unavail>)General Acute Care HospitalHospitalsPractice Address1611 NW 12th Street, Miami, FL 33136-1005(305) 585-8957(786) 466-8080PECOS EnrollmentBased on the most recent information from CMS, provider Public Health Trust Of Miami Dade County Florida does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1225033020Provider TypeOrganizationFull NamePublic Health Trust Of Miami Dade County FloridaOther Name<Unavail>SubpartYesEnumeration Date6/17/2005Last Updated4/6/2017Contact InformationPractice LocationPractice Address1611 NW 12th Street, Miami, FL 33136-1005Phone(305) 585-8957Fax(305) 585-5137Mailing LocationMailing AddressPO Box 12493, Miami, FL 33101-2493Phone(786) 466-8080Fax(305) 355-5380Authorized OfficialNameKnight, Mark T (Chief Financial Officer)Phone(305) 585-7979Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicense3998FloridaCode261Q00000XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerCode282N00000XDescriptionGeneral Acute Care HospitalHospitalsLicenseAHCA # 3998FloridaProvider IdentifiersIDDescriptionIssuerID010042100DescriptionMedicaidIssuerUnlistedFloridaID010042101DescriptionMedicaidIssuerUnlistedFloridaID010042146DescriptionMedicaidIssuerUnlistedFlorida