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NPI 1689548216

NPI 1689548216 : PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA : PLANTATION, FL

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General NPI Number Information
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    NPI Number           |    1689548216
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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     |    10/06/2025
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    Last Update Date     |    10/06/2025
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Provider Practice Location Address
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    Address Line         |    600 S PINE ISLAND RD STE 200 
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    City                 |    PLANTATION
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    State                |    FL
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    Zip                  |    33324-3179
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    Country              |    US
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    Telephone            |    305-355-6060
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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 AND CFO
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    Name                 |    MR. MARK T KNIGHT 
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    Credential           |    
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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        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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