Healthcare Provider Details

I. General information

NPI: 1588092050
Provider Name (Legal Business Name): MECNB OON INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2013
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 10TH AVE N
PALM SPRINGS FL
33461-3100
US

IV. Provider business mailing address

2720 10TH AVE N
PALM SPRINGS FL
33461-3100
US

V. Phone/Fax

Practice location:
  • Phone: 888-944-3549
  • Fax: 772-463-3072
Mailing address:
  • Phone: 954-869-0939
  • Fax: 772-463-3072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT RODRIGUEZ
Title or Position: CEO
Credential:
Phone: 917-813-8399