JMG SPECIALTY PHYSICIANS
NPI 1649946617
General Practice in Doral, FL

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

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since August 19, 2021

2801 NW 79TH AVE, DORAL, FL 33122(786) 466-1154 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2022, Feb 7, 2022, Aug 19, 2021 (3 updates tracked since 2021).

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About Jmg Specialty Physicians NPPES

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

JMG SPECIALTY PHYSICIANS (NPI 1649946617) is a healthcare organization registered as a general practice in Doral, Florida and active in the NPI registry since August 2021. The organization lists Mark T Knight, Executive Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1649946617

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NamePUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA

Location Address2801 NW 79TH AVEDoral, FL 33122-1174

Mailing AddressPo Box 12493Miami, FL 33101-2493 · (305) 585-5315

Phone(786) 466-1154

Organization SubpartNo

Authorized OfficialMark T KnightExecutive Vp, Cfo · (305) 585-8490

Enumeration DateAugust 19, 2021

Last NPPES UpdateFebruary 25, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2022

✔ NPI 1649946617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2801 NW 79TH AVE, Doral, FL 33122

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Other Names 1

Doing Business AsJmg Specialty Physicians

Other Identifiers 1

Medicaid000957226FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2265077

Jmg Specialty Physicians · Miami, FL

Expired · Jul 21, 2026

CLIA Number10D2265077

Laboratory TypePhysician Office

Certificate Effective DateJuly 22, 2024

Certificate Expiration DateJuly 21, 2026

Laboratory DirectorMarta De Jesus Cabrera

Laboratory Phone(786) 466-1286

Laboratory LocationJmg Specialty Physicians2801 NW 79th Avenue, Ste 402, Miami, FL 33122

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARISLEIDY MOREJON ROMERO AGACNP

Nurse Practitioner (Acute Care)