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Organization
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Active
Organization
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Active
Other names
JMG Specialty Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T KNIGHT CFO (EXECUTIVE VP, CFO)
(305) 585-7979
Entity
Organization
Contact information
Practice address
1009 NW 5TH AVE, MIAMI, FL 33136-3212
(786) 466-4083
Mailing address
PO BOX 12493, MIAMI, FL 33101-2493
(305) 585-5315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000957207
—
FL
Enumeration date
08/24/2021
Last updated
02/25/2022
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