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Organization

PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA

Active
Parent organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Other names
JACKSON MEDICAL GROUP
Organization subpart
Yes

Provider details

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

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
04/12/2022
Last updated
01/17/2024
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