MEDICARE: DOCTOR UNITED GROUP 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	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1235064882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTOR UNITED GROUP INC

Provider Business Mailing Address
First Line	:	6209 NW 18TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33147-7801
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2650 MAJOR JAMES MORGAN JR WAY
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32304-3830
Country	:	US
Telephone Number	:	786-558-7308
Fax Number	:

Authorized Official
Title or Position	:	COUNSEL
Name	:	WILLIAM MAYHOOD IV
Credential	:
Telephone Number	:	612-819-1279

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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