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General NPI Number Information
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NPI Number | 1295062602
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Entity Type | Organization
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Legal Business Name | UNITED HEALTH MEDICAL GROUP INC
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 3890 W COMMERCIAL BLVD STE 217
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City | TAMARAC
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State | FL
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Zip | 33309-3319
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Country | US
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Telephone | 954-530-2820
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Fax | 954-530-2840
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Provider Business Mailing Address
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Address Line | 2423 SW 147TH AVE STE 145
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City | MIAMI
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State | FL
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Zip | 33185-4082
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Country | US
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Telephone | 305-910-7237
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Fax | 305-223-9577
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDUARDO RAUL RAMIREZ
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Credential | D.C.
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Telephone | 305-910-7237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH7714
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License Number State | FL
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