MEDICARE: MECNB OON INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center
2	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1588092050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MECNB OON INC

Provider Business Mailing Address
First Line	:	2720 10TH AVE N
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-3100
Country	:	US
Telephone Number	:	954-869-0939
Fax Number	:	772-463-3072

Provider Business Practice Location Address
First Line	:	2720 10TH AVE N
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-3100
Country	:	US
Telephone Number	:	888-944-3549
Fax Number	:	772-463-3072

Authorized Official
Title or Position	:	CEO
Name	:	MR. ROBERT RODRIGUEZ
Credential	:
Telephone Number	:	917-813-8399

Provider Enumeration Date	:	10/21/2013
Last Update Date	:	03/17/2026

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