MEDICARE: CMA MEDS

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	332900000X	Non-Pharmacy Dispensing Site	ME66878	FL

General Provider Information

NPI Number	:	1871894048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CMA MEDS

Provider Business Mailing Address
First Line	:	1000 PARK CENTRE BLVD
Second Line	:	SUITE 100
City	:	MIAMI
State	:	FL
Zip	:	33169-5373
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5385 NE 2ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-2707
Country	:	US
Telephone Number	:	305-756-9977
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. MARY CHEN
Credential	:
Telephone Number	:	305-621-0023

Provider Enumeration Date	:	11/04/2010
Last Update Date	:	07/18/2012

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Directions to “CMA MEDS ” Practice Location

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