MERCY MEDICAL DEVELOPMENT INC NPI 1992787576

NPI Information

NPI: 1992787576
Provider Name: MERCY MEDICAL DEVELOPMENT INC
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Organization
Doing Business As: MERCY OUTPATIENT CENTER
Address: 3641 S MIAMI AVE
MIAMI, FL
ZIP 33133
Phone: (305) 860-4660

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NPI Details

MERCY MEDICAL DEVELOPMENT INC is a diagnostic radiology radiology in Miami, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MERCY MEDICAL DEVELOPMENT INC NPI is 1992787576. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercy Outpatient Center.

The provider's business location address is:

3641 S MIAMI AVE
MIAMI, FL
ZIP 33133-205
Phone: (305) 860-4660
Fax: (305) 860-4682

The provider's authorized official is Jerry Mashburn .
The authorized official title is Cfo and has the following contact phone number (305) 854-4400.

The enumeration date for this NPI number is 11/18/2005 and was last updated on 5/29/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2085N0904X	Radiology	Nuclear Radiology	No
2	2085R0203X	Radiology	Therapeutic Radiology	No
3	2085U0001X	Radiology	Diagnostic Ultrasound	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	No
5	207UN0901X	Nuclear Medicine	Nuclear Cardiology	No
6	2085R0204X	Radiology	Vascular & Interventional Radiology	No
7	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	No
8	2085R0202X	Radiology	Diagnostic Radiology	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	060942100	MEDICAID	FLORIDA
2	97546A	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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