OrganizationPublic Health Trust Of Dade County FloridaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address13120 Biscayne Blvd, North Miami, FL 33181-2013(305) 585-9210(305) 585-5315PECOS EnrollmentBased on the most recent information from CMS, provider Public Health Trust Of 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 3 days ago.Profile DetailsProvider ID1952056111Provider TypeOrganizationFull NamePublic Health Trust Of Dade County FloridaSubpartNoEnumeration Date2/16/2022Last Updated2/25/2022Contact InformationPractice LocationPractice Address13120 Biscayne Blvd, North Miami, FL 33181-2013Phone(305) 585-9210FaxUnlisted FaxMailing LocationMailing AddressPO Box 12493, Miami, FL 33101-2493Phone(305) 585-5315FaxUnlisted FaxAuthorized OfficialNameKnight, Mark T (Executive Vp, Cfo)Phone(305) 585-8490Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID000957221DescriptionMedicaidIssuerUnlistedFlorida