# PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
- **Other names:** JACKSON MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326780016
- **Legal business name:** PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
- **Authorized official:** MARK T KNIGHT (EVP CFO)
- **Authorized official phone:** (305) 585-4211

## Contact information

- **Practice address:** 1502 NW 4 STREET, RETAIL NO. 5, MIAMI, FL 33125
- **Practice address phone:** (305) 585-3701
- **Mailing address:** PO BOX 12493, MIAMI, FL 33101-2493
- **Mailing address phone:** (786) 466-8101

## Taxonomy

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

## Other

- **Enumeration date:** 04/12/2022
- **Last updated:** 01/17/2024