Organization · Type 2 NPI

Public Health Trust of Miami Dade County Florida

General Practice Physician · North Miami, FL

NPI number 1164115374 Active

Practice location

1801 NE 123rd St
North Miami, FL 33181-2817

Call (305) 585-3701 Map

Mailing address

PO Box 12493
Miami, FL 33101-2493

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

13 other providers at this address

Other general practice physician providers in North Miami

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NPI record

NPI: 1164115374
Entity type: Organization (Type 2)
Issued: Jun 1, 2023
Last updated: Jun 20, 2023
Status: Active

Other names

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JMG Specialty Physicians · doing business as
JMG Specialty Physicians · doing business as

Authorized official

Mr. Mark T Knight, CFO
Executive VP, CFO
(305) 585-8490

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164115374

Public Health Trust of Miami Dade County Florida's National Provider Identifier is 1164115374, issued on Jun 1, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in North Miami, FL. The record was last updated on Jun 20, 2023.