Organization · Type 2 NPI

Public Health Trust of Dade County Florida

General Practice Physician · South Miami, FL

NPI number 1558038091 Active

Practice location

6601 SW 62nd Ave
South Miami, FL 33143-3300

Call (786) 466-6900 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.

5 other providers at this address

Other general practice physician providers in South Miami

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NPI record

NPI: 1558038091
Entity type: Organization (Type 2)
Issued: Aug 24, 2021
Last updated: Feb 25, 2022
Status: Active

Other names

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

Authorized official

Mark T Knight, CFO
Executive VP, CFO
(305) 585-7979

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 1558038091

Public Health Trust of Dade County Florida's National Provider Identifier is 1558038091, issued on Aug 24, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in South Miami, FL. The record was last updated on Feb 25, 2022.