PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
NPI 1629647995
Obstetrics & Gynecology in Miami, FL

Active since June 22, 2021
15155 SW 97TH AVE STE 230, MIAMI, FL 33176(305) 585-5259 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Public Health Trust Of Miami Dade County Florida NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA (NPI 1629647995), doing business as Jackson South Ob/gyn Practice, is a healthcare organization registered as an obstetrics & gynecology in Miami, Florida and active in the NPI registry since June 2021. The organization lists Mark T Knight, Evp Cheif Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1629647995
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Location Address15155 SW 97TH AVE STE 230Miami, FL 33176-7016
Mailing AddressPo Box 12493Miami, FL 33101-2493 · (786) 466-8101
Organization SubpartNo
Authorized OfficialMark T KnightEvp Cheif Financial Officer · (305) 585-7979
Enumeration DateJune 22, 2021
NPPES CertifiedJune 22, 2021
NPI 1629647995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
15155 SW 97TH AVE STE 230, Miami, FL 33176

Other Names 1

Doing Business AsJackson South Ob/gyn Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Public Health Trust Of Miami Dade County Florida's NPI number?

The NPI number for Public Health Trust Of Miami Dade County Florida is 1629647995. It was assigned to this organization in the NPPES registry on June 22, 2021. The provider is doing business as Jackson South OB/GYN Practice.

Where is Public Health Trust Of Miami Dade County Florida located?

Public Health Trust Of Miami Dade County Florida is located at 15155 SW 97th Ave Ste 230, Miami, FL 33176. The listed phone number is (305) 585-5259.

What is Public Health Trust Of Miami Dade County Florida's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Public Health Trust Of Miami Dade County Florida was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.