# PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JMG Specialty Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134384423
- **Authorized official:** MR. MARK T KNIGHT (EXECUTIVE VP,CFO)
- **Authorized official phone:** (305) 585-8490

## Contact information

- **Practice address:** 1611 NW 12TH AVE, MIAMI, FL 33136-1005
- **Practice address phone:** (305) 585-5315
- **Practice address fax:** (305) 585-5316
- **Mailing address:** PO BOX 12493, MIAMI, FL 33101-2493
- **Mailing address phone:** (305) 585-5315
- **Mailing address fax:** (305) 585-5316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2008
- **Last updated:** 09/27/2024