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) 585-8490
Entity
Organization
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
PO BOX 12493, MIAMI, FL 33101-2493
(305) 585-5315
(305) 585-5316
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000957200
—
FL
Enumeration date
08/17/2021
Last updated
05/17/2023
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