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NPI 1619774486

NPI 1619774486 : PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA : CORAL GABLES, FL

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General NPI Number Information
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    NPI Number           |    1619774486
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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     |    02/27/2025
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    Last Update Date     |    10/09/2025
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Provider Practice Location Address
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    Address Line         |    3737 SW 8TH ST STE C 
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    City                 |    CORAL GABLES
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    State                |    FL
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    Zip                  |    33134-3129
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    Country              |    US
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    Telephone            |    305-575-1600
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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                 |    MR. 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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    
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    License Number State |    
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