Organization Name: | M&M GROUP SERVICES INC |
NPI Number: | 1538308556 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MANUEL MIRANDA (PRESIDENT) |
Mailing Address: | 9737 Nw 41st St Suite 360 Doral |
State: | FL US |
Postal Code: | 331782924 |
Phone Number: | 3052021644 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2009 |
NPI Last Update Date: | 02/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME 17907 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |