MEDICARE: USA MEDICAL SERVICES UNLIMETED CORP

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	208D00000X	General Practice Physician	HCC10784	FL

General Provider Information

NPI Number	:	1659707099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USA MEDICAL SERVICES UNLIMETED CORP

Provider Business Mailing Address
First Line	:	6001 NW 153RD ST STE 102
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2447
Country	:	US
Telephone Number	:	305-818-1708
Fax Number	:	305-818-0359

Provider Business Practice Location Address
First Line	:	6001 NW 153RD ST STE 102
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2447
Country	:	US
Telephone Number	:	305-818-1708
Fax Number	:	305-818-0359

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DANIEL ROBERTO RONCHETTA
Credential	:	MD
Telephone Number	:	305-818-7108

Provider Enumeration Date	:	09/17/2013
Last Update Date	:	09/17/2013

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