Jackson Infant Toddler Center Professional

LBN: Public Health Trust Of Miami Dade County Florida
Jackson Infant Toddler Center Professional is an health care organization with primary practice located at 1477 Nw 8Th Ave , Miami FL 33136-1425. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. Public Health Trust Of Miami Dade County Florida can be contacted via phone (305) 547-2500, or through Knight, Mark T via phone (305) 585-7979.

Contact Information

Primary practice address
1477 Nw 8Th Ave Miami FL 33136-1425
Phone: (305) 547-2500
Fax: (305) 547-2673
Website:
Map and Directions
Authorized official contact:
Name: Knight, Mark T
Phone: (305) 585-7979

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care 261QM3000X 6002096 Florida
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 6002096 Florida

Profile Details

NPI number 1811040249
LBN Legal business name Public Health Trust Of Miami Dade County Florida
DBA Doing business as Jackson Infant Toddler Center Professional
Authorized official Knight, Mark T
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 19th, 2007
Last updated Apr 6th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811040249 NPPES
Florida MEDICAID 300005200

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