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General NPI Number Information
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NPI Number | 1891258307
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Entity Type | Organization
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Legal Business Name | DOCTOR UNITED GROUP INC
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 4212 W 16TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-7629
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Country | US
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Telephone | 305-821-5525
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Fax | 786-342-6017
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Provider Business Mailing Address
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Address Line | 2150 W 76TH ST
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City | HIALEAH
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State | FL
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Zip | 33016-1882
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Country | US
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Telephone | 877-384-6337
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Fax |
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Authorized Official
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Title or Position | LEGAL AND REGULATORY
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Name | WILLIAM MAYHOOD
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Credential | JD
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Telephone | 877-384-6337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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