| Jmg Specialty Physicians | |
|
2801 Nw 79th Ave Doral FL 33122-1174 | |
| (786) 466-1154 | |
| Not Available |
| Full Name | Jmg Specialty Physicians |
|---|---|
| Speciality | General Practice |
| Location | 2801 Nw 79th Ave, Doral, 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 2801 Nw 79th Ave Doral FL 33122-1174 Ph: (786) 466-1154 |
| NPI Number | 1649946617 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649946617 | NPI | - | NPPES |
| 000957226 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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