MEDICARE: DOCTOR UNITED GROUP 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	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1689516668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTOR UNITED GROUP INC

Provider Business Mailing Address
First Line	:	2150 W 76TH ST STE 100
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-1884
Country	:	US
Telephone Number	:	866-745-8049
Fax Number	:	786-558-7308

Provider Business Practice Location Address
First Line	:	3300 W COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-8011
Country	:	US
Telephone Number	:	866-745-8049
Fax Number	:	786-342-6017

Authorized Official
Title or Position	:	COUNSEL/COMPLIANCE
Name	:	WILLIAM MAYHOOD IV
Credential	:
Telephone Number	:	612-819-1279

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “DOCTOR UNITED GROUP INC ” Practice Location

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