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NPI Code Detail

MEDICARE: MERCY MEDICAL DEVELOPMENT INC

MEDICARE: MERCY MEDICAL DEVELOPMENT 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
12085N0904XNuclear Radiology Physician
22085R0203XTherapeutic Radiology Physician
32085U0001XDiagnostic Ultrasound Physician
4207RP1001XPulmonary Disease Physician
5207UN0901XNuclear Cardiology Physician
62085R0204XVascular & Interventional Radiology Physician
7207ZP0102XAnatomic Pathology & Clinical Pathology Physician
82085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992787576
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY MEDICAL DEVELOPMENT INC
Provider Business Mailing Address
First Line : PO BOX 331966
Second Line :
City : MIAMI
State : FL
Zip : 33233-1966
Country : US
Telephone Number : 305-860-4660
Fax Number : 305-860-4682
Provider Business Practice Location Address
First Line : 3641 S MIAMI AVE
Second Line :
City : MIAMI
State : FL
Zip : 33133-4205
Country : US
Telephone Number : 305-860-4660
Fax Number : 305-860-4682
Authorized Official
Title or Position : CFO
Name : MR. JERRY MASHBURN
Credential :
Telephone Number : 305-854-4400
Provider Enumeration Date : 11/18/2005
Last Update Date : 05/29/2008

Similar Medicare Providers

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Practice Location Address:
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1215913553 — FRANCISCO ALVAREZ-GIL, M.D., P.A.
Practice Location Address:
3641 S MIAMI AVE
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Practice Fax: 305-854-0308
1831175702 — DR. FRANCISCO ALVAREZ-GIL M.D.
Practice Location Address:
3641 S MIAMI AVE
MIAMI, FL
33133-4205
Practice Phone: 305-854-0302
Practice Fax: 305-854-0308
1013997162 — DR. TIHESHA L WILSON MD
Practice Location Address:
3641 S MIAMI AVE , SUITE 331
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Practice Fax: 305-285-5039
1245202084 — JORGE MELGEN M.D
Practice Location Address:
3641 S MIAMI AVE
MIAMI, FL
33133-4205
Practice Phone: 305-854-0302
Practice Fax: 305-854-0308
1629040472 — CARIDAD D. GALLARDO MD
Practice Location Address:
3641 S MIAMI AVE
MIAMI, FL
33133-4205
Practice Phone: 305-854-0302
Practice Fax: 305-854-0308

Directions to “MERCY MEDICAL DEVELOPMENT INC ” Practice Location

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