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General NPI Number Information
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NPI Number | 1356883011
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Entity Type | Organization
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Legal Business Name | PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
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Dates
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Enumeration Date | 11/12/2016
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Last Update Date | 10/01/2020
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Provider Practice Location Address
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Address Line | 7400 NW 104TH AVE SUITE D 101
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City | DORAL
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State | FL
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Zip | 33178-3332
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Country | US
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Telephone | 305-585-8859
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Fax | 305-355-5380
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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 | 786-466-8080
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Fax | 305-355-2377
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICIER
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Name | MR. MARK T KNIGHT
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Credential |
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Telephone | 305-585-7979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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