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Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Other names
JMG Specialty Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK T KNIGHT CFO (EXECUTIVE VP, CFO)
(305) 585-8490
Entity
Organization
Contact information
Practice address
1801 NE 123RD ST, NORTH MIAMI, FL 33181-2817
(305) 585-3701
Mailing address
PO BOX 12493, MIAMI, FL 33101-2493
(305) 585-5315
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009572223
—
FL
Enumeration date
06/01/2023
Last updated
06/20/2023
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