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PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA NPI 1720756737


NPI Information

NPI: 1720756737
Provider Name: PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA

Doing Business As: JMG SPECIALTY PHYSICIANS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D2049855

Address:
9380 SW 150TH ST STE 295
MIAMI, FL
ZIP 33176
Phone: (305) 256-5018
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PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA is a pediatrics in Miami, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA NPI is 1720756737. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jmg Specialty Physicians.

The provider's business location address is:

9380 SW 150TH ST STE 295
MIAMI, FL
ZIP 33176-979
Phone: (305) 256-5018

The provider's authorized official is Mark T Knight .
The authorized official title is Executive Vp, Cfo and has the following contact phone number (305) 585-8490.

The CLIA number assigned to this NPI record is 10D2049855 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2021 and was last updated on 2/25/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeNo
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000957215MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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