PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA (NPI# 1063586543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063586543 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA |
| Other Organization Name | JACKSON MEMORIAL HOSP-HIGHLAND PARK |
| Practice Address |
1695 Nw 9th Ave Miami FL 33136-1409 |
| Mailing Address |
Po Box 864781 Orlando FL 32886-4781 |
| Practice Telephone | 3053557203 |
| Practice Fax Number | 8062420502 |
| Mailing Telephone | 8063245507 |
| Mailing Fax Number | 8063245495 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | STEVEN NEMEROFF (ASSOCIATE DIRECTOR PHARMACY) |
| Authorized Official Telephone | 3055856780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH10582 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003421101 | 05 | |
| FL | 003421100 | 05 | |
| PK | 2009218 | 01 |
| Other Name | Type Code |
|---|---|
| JACKSON MEMORIAL HOSP-HIGHLAND PARK | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871705558 | Public Health Trust of Dade County Florida | Clinic/Center | 14701 Nw 27th Ave, Opa Locka, FL 33054-3350 | 2007-05-04 |
| 1427120856 | Public Health Trust of Dade County Florida | Clinic/Center | 1660 Nw 7th Ct, Highland Pavillion, Miami, FL 33136-1420 | 2006-11-14 |
| 1194897421 | Public Health Trust of Dade County Florida | Legal Medicine | 1851 Nw 10th Ave, Miami, FL 33136-1054 | 2006-11-14 |
| 1295806727 | Public Health Trust of Dade County Florida | Pharmacy | 9333 Sw 152 Street, Miami, FL 33157 | 2006-11-13 |
| 1790856458 | Public Health Trust of Dade County Florida | Pharmacy | 901 Nw 17th St Ste D, Miami, FL 33136-1135 | 2006-11-13 |
| 1124062542 | Public Health Trust of Dade County Florida | Anesthesiology | 1611 Nw 12th Avenue, Miami, FL 33136 | 2006-06-15 |
| 1134116320 | Public Health Trust of Dade County Florida | Skilled Nursing Facility | 2500 Nw 22nd Ave, Miami, FL 33142-8429 | 2005-10-03 |
| 1710358163 | Public Health Trust of Dade County Florida | Clinic/Center | 615 5th St, Miami Beach, FL 33139-6515 | 2015-10-12 |
| 1053789313 | Public Health Trust of Dade County Florida | Pharmacy | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2015-09-03 |
| 1831340900 | Public Health Trust of Dade County Florida | Clinic/Center | 20201 Nw 37th Ave, Miami Gardens, FL 33056-1755 | 2008-10-07 |
| Street Address |
1695 NW 9TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356338784 | Christopher B Benton | Specialist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2005-09-30 |
| 1093322760 | Giselle Leal | Clinical Neuropsychologist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2020-09-28 |
| 1336754480 | Natasha L Poulopoulos | Psychologist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2020-09-14 |
| 1396222469 | Marcela Kitaigorodsky | Psychologist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2018-07-23 |
| 1043712425 | Catherine De La Osa | Psychologist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2018-03-01 |
| 1194234971 | Daema Pina | Clinical Neuropsychologist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2017-09-25 |
| 1396295135 | Leidybeth Rodriguez | Psychologist | 1695 Nw 9th Ave, Suite 3308, Miami, FL 33136-1409 | 2016-10-05 |
| 1669835831 | Daniel Enrique Jimenez | Psychologist | 1695 Nw 9th Ave, Suite 3308, Miami, FL 33136-1409 | 2016-04-04 |
| 1508248881 | Mousa Botros | Psychiatry & Neurology | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2015-06-23 |
| 1770979734 | Jacob Harel | Student in an Organized Health Care Education/Training Program | 1695 Nw 9th Ave, Department of Psychiatry, Miami, FL 33136-1409 | 2015-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
| 1588298012 | Infinity Phamacy Corp | Pharmacy | 10521 Sw 40th St Ste A, Miami, FL 33165-3747 | 2020-02-24 |
| 1518529809 | Maik Pharmacy Corp | Pharmacy | 10521 Sw 40th St # 102, Miami, FL 33165-3747 | 2019-07-08 |
| 1659934024 | Remedy Box Pharmacy,inc | Pharmacy | 10000 Sw 56th St Ste 9, Miami, FL 33165-7161 | 2019-04-20 |
| 1265995971 | Adgrx, Inc. | Pharmacy | 10910 W Flagler St Ste 112, Miami, FL 33174-1218 | 2019-04-09 |
| 1962968552 | Good Pharmacy | Pharmacy | 16741 Sw 95th St, Miami, FL 33196-4757 | 2019-02-19 |
| 1447724422 | Easy Scripts West Chester, LLC | Pharmacy | 9796 Sw 24th St, Miami, FL 33165-7574 | 2019-01-14 |
| 1134691660 | A&n Pharmacy Inc | Pharmacy | 1701 W. Flagler St, Suite 322, Miami, FL 33135 | 2018-12-21 |
| 1508337569 | Ava Pharmacy Corp | Pharmacy | 526 Sw 57 Ave, Miami, FL 33144 | 2018-12-16 |
| 1548731631 | Grand 7 Th Pharmacy By Kwik Stop | Pharmacy | 3135 Grand Ave, Miami, FL 33133-5103 | 2018-12-16 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.