Healthcare Provider Details

I. General information

NPI: 1962203349
Provider Name (Legal Business Name): MDHOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 SW 23RD RD
MIAMI FL
33129-1933
US

IV. Provider business mailing address

825 SW 23RD RD
MIAMI FL
33129-1933
US

V. Phone/Fax

Practice location:
  • Phone: 917-601-8706
  • Fax:
Mailing address:
  • Phone: 917-601-8706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. SETH JEREMY MARQUIT
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 305-343-2974