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General NPI Number Information
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NPI Number | 1164198552
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Entity Type | Organization
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Legal Business Name | PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 9380 SW 150TH ST STE 250
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City | MIAMI
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State | FL
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Zip | 33176-7947
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Country | US
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Telephone | 305-256-5030
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12493
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City | MIAMI
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State | FL
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Zip | 33101-2493
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Country | US
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Telephone | 305-585-5315
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VP, CFO
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Name | MARK T KNIGHT
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Credential | CFO
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Telephone | 305-585-8490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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