| Organization Name: | MED ONE HEALTH CARE GROUP LLC |
| NPI Number: | 1053647784 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | INGRIED ALBISU (OWNER) |
| Mailing Address: | 2387 W 68th St Suite 301 Hialeah |
| State: | FL US |
| Postal Code: | 330166889 |
| Phone Number: | 3053815301 |
| Fax Number: | 3053815541 |
| NPI Enumeration Date: | 10/31/2009 |
| NPI Last Update Date: | 07/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |