Public Health Trust Of Miami Dade County Florida

(<Unavail>)

General Acute Care Hospital

Hospitals

PECOS Enrollment

Based 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 B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 15 days ago.

Profile Details

Provider ID
1972258051
Provider Type
Organization
Full Name
Public Health Trust Of Miami Dade County Florida
Other Name
<Unavail>

Subpart
No
Enumeration Date
2/16/2022
Last Updated
2/23/2022

Contact Information

Practice Location

1611 NW 12th Ave, Miami, FL 33136-1005

(305) 585-1111

Unlisted Fax

Mailing Location

PO Box 12493, Miami, FL 33101-2493

(305) 585-5315

Unlisted Fax

Authorized Official

Knight, Mark T (Executive Vp, Cfo)

(305) 585-8490

Provider Taxonomies

Code	Description	License
Code 282N00000X Primary	Description General Acute Care Hospital Hospitals	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 010042146	Description Medicaid	Issuer Unlisted Florida

Public Health Trust Of Miami Dade County Florida

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

University Of Miami

Jackson Memorial Hospital

Jackson Memorial Hospital

Berger, Ting

Jackson Health System

Anne Bates Leach Eye Hospital

Jackson Memorial Hospital

Jackson Memorial Hospital

Cedars Healthcare Group, Ltd.

Miami Va Health Care System