# PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackson Medical Group West Kendall
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245169788
- **Authorized official:** MR. MARK T KNIGHT (EXECUTIVE VP, CFO)
- **Authorized official phone:** (305) 585-8490

## Contact information

- **Practice address:** 13650 SW 131ST ST STE C, MIAMI, FL 33186-5847
- **Practice address phone:** (305) 585-3701
- **Mailing address:** PO BOX 12493, MIAMI, FL 33101-2493
- **Mailing address phone:** (305) 585-5315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2026
- **Last updated:** 05/19/2026