MED ONE MEDICAL MANAGEMENT INC NPI 1780776401

NPI Information

MED ONE MEDICAL MANAGEMENT INC is a general practice in Opa Locka, FL. The provider is 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 MED ONE MEDICAL MANAGEMENT INC NPI is 1780776401. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Med One Medical Center.

The provider's business location address is:

486 FISHERMAN ST
OPA LOCKA, FL
ZIP 33054-818
Phone: (305) 688-5456
Fax: (305) 688-1661

The provider's authorized official is Pierre R Blemur .
The authorized official title is President and has the following contact phone number (305) 688-5456.

The CLIA number assigned to this NPI record is 10D1022005 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 5/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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