MEDICARE: MRM TREATMENT 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	261QM1300X	Multi-Specialty Clinic/Center
2	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1154112688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MRM TREATMENT INC

Provider Business Mailing Address
First Line	:	7680 UNIVERSAL BLVD STE 130
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8900
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7680 UNIVERSAL BLVD STE 130
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8900
Country	:	US
Telephone Number	:	645-223-3136
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MODESTO RODRIGUEZ
Credential	:
Telephone Number	:	645-223-3136

Provider Enumeration Date	:	05/14/2025
Last Update Date	:	05/14/2025

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Directions to “MRM TREATMENT INC ” Practice Location

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