Public Health Trust of Miami Dade County Florida

NPI #1063417483 in Opa-Locka, Florida

Provider Information

NPI Number: 1063417483
Entity Type: Organization
Organization Name: Public Health Trust of Miami Dade County Florida
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 14, 2005
Last Updated: Sep 4, 2020

Practice Location

Address: 15055 NW 27 AVENUE
City: Opa-Locka
State: Florida
ZIP Code: 33054-3365
Phone: (305) 466-2800

Authorized Official

Name: MR. MARK T KNIGHT
Title: CHIEF FINANCIAL OFFICER
Phone: (305) 585-7979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Community Health — Community Health	261QC1500X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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