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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