OrganizationActive
Public Health Trust of Miami Dade County Florida
NPI 1629647995 · Obstetrics & Gynecology Physician · Miami, FL
Provider details
- NPI number
- 1629647995
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Knight, Evp Cheif Financial Officer(305) 585-7979
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15155 Sw 97th Ave Ste 230
Miami, FL 33176-7016
Phone: (305) 585-5259
Street-level locationGet directions
Mailing address
Po Box 12493
Miami, FL 33101-2493
Other names (DBA / former)
- Doing business as
- Jackson South Ob/Gyn Practice
Registry dates
- Enumerated
- 2021-06-22
- Last updated
- 2021-06-22
- Certified
- 2021-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.