Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Public Health Trust of Miami Dade County Florida

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1386714418

Public Health Trust of Miami Dade County Florida is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Miami, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1611 NW 12th St
Miami, FL 33136-1005
Phone: (305) 585-8490
Fax: (305) 355-2377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X · Licence 3998 (FL)
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Taxonomy 261QE0700X

Record details

NPI number1386714418
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPublic Health Trust of Miami Dade County
Authorized official Mark Knight — Chief Financial Officer · (305) 585-7979
Other names Jackson Memorial Hospital Pedi Renal
NPI enumeratedNovember 8, 2006
Last updated in NPPESApril 6, 2017
Mailing addressPo Box 12493, Miami, FL 33101-2493

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