Public Health Trust of Miami Dade County Florida
Public Health Trust of Miami Dade County Florida provides General Practice Physician services in Miami, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1502 NW 4 Street Retail No 5Miami, FL 33125
Phone: (305) 585-3701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1326780016 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Public Health Trust of Miami Dade County Florida |
| Authorized official | Mark Knight — Evp Cfo · (305) 585-4211 |
| Other names | Jackson Medical Group; Jackson Medical Group |
| NPI enumerated | April 12, 2022 |
| Last updated in NPPES | January 17, 2024 |
| Certification date | January 17, 2024 |
| Mailing address | Po Box 12493, Miami, FL 33101-2493 |
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