# PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA

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

## Provider details

- **NPI number:** 1699441907
- **Authorized official:** MARK T KNIGHT CFO (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) 585-1111
- **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 |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2021
- **Last updated:** 05/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000957200 | — | FL |