| Jmg Specialty Physicians | |
|
16555 Nw 25th Ave Opa Locka FL 33054-6583 | |
| (786) 466-1500 | |
| Not Available |
| Full Name | Jmg Specialty Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 16555 Nw 25th Ave, Opa Locka, Florida |
| Authorized Official Name and Position | Mark T Knight (EXECUTIVE VP, CFO) |
| Authorized Official Contact | 3055857979 |
| 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 16555 Nw 25th Ave Opa Locka FL 33054-6583 Ph: (786) 466-1500 |
| NPI Number | 1487321923 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487321923 | NPI | - | NPPES |
| 000957204 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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