MEDICARE: MAFIC SERVICE 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
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1093949430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAFIC SERVICE INC

Provider Business Mailing Address
First Line	:	13876 SW 56TH ST
Second Line	:	SUITE 235
City	:	MIAMI
State	:	FL
Zip	:	33175-6021
Country	:	US
Telephone Number	:	786-343-7077
Fax Number	:

Provider Business Practice Location Address
First Line	:	13876 SW 56TH ST
Second Line	:	SUITE 235
City	:	MIAMI
State	:	FL
Zip	:	33175-6021
Country	:	US
Telephone Number	:	786-343-7077
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JOSE A GARCIA
Credential	:
Telephone Number	:	786-343-7077

Provider Enumeration Date	:	05/13/2009
Last Update Date	:	05/13/2009

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Directions to “MAFIC SERVICE INC ” Practice Location

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