Jmg Specialty Physicians | |
1801 Ne 123rd St North Miami FL 33181-2817 | |
(305) 585-3701 | |
Not Available |
Full Name | Jmg Specialty Physicians |
---|---|
Speciality | General Practice |
Location | 1801 Ne 123rd St, North Miami, Florida |
Authorized Official Name and Position | Mark T Knight (EXECUTIVE VP, CFO) |
Authorized Official Contact | 3055858490 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jmg Specialty Physicians Po Box 12493 Miami FL 33101-2493 Ph: (305) 585-5315 | Jmg Specialty Physicians 1801 Ne 123rd St North Miami FL 33181-2817 Ph: (305) 585-3701 |
NPI Number | 1164115374 |
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Provider Enumeration Date | 06/01/2023 |
Last Update Date | 06/20/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164115374 | NPI | - | NPPES |
0009572223 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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