Provider Demographics
NPI:1679684393
Name:JMH-PUBLIC HEALTH TRUST
Entity type:Organization
Organization Name:JMH-PUBLIC HEALTH TRUST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTRERAS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:3055-858-5365
Mailing Address - Street 1:100 EDGEWATER DR APT 101
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6937
Mailing Address - Country:US
Mailing Address - Phone:305-663-7135
Mailing Address - Fax:305-355-2161
Practice Address - Street 1:100 EDGEWATER DR APT 101
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33133-6937
Practice Address - Country:US
Practice Address - Phone:305-663-7135
Practice Address - Fax:305-355-2161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1320812282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital