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NPI Code Detail

MEDICARE: MIDWAY IMMUNOLOGY AND RESEARCH CENTER

MEDICARE: MIDWAY IMMUNOLOGY AND RESEARCH CENTER
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
1207RI0200XInfectious Disease Physician

General Provider Information

NPI Number : 1356580518
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDWAY IMMUNOLOGY AND RESEARCH CENTER
Provider Business Mailing Address
First Line : 356 E MIDWAY RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-7148
Country : US
Telephone Number : 772-464-9746
Fax Number :
Provider Business Practice Location Address
First Line : 356 E MIDWAY RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-7148
Country : US
Telephone Number : 772-464-9746
Fax Number :
Authorized Official
Title or Position : CEO
Name : MOTI N RAMGOPAL
Credential : MD
Telephone Number : 772-464-9746
Provider Enumeration Date : 02/11/2009
Last Update Date : 02/11/2009

Similar Medicare Providers

1801884028 — MS. DARLA L BAGWELL ARNP
Practice Location Address:
356 E MIDWAY RD
FORT PIERCE, FL
34982-7148
Practice Phone: 772-464-9746
Practice Fax: 772-464-9750
1457329450 — MR. MOTI N RAMGOPAL MD
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1245355866 — MS. RANDI BETH FREEDMAN RD, LDN
Practice Location Address:
356 E MIDWAY RD
FORT PIERCE, FL
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Practice Fax:
1447544408 — MOTI RAMGOPAL MDPA
Practice Location Address:
356 E MIDWAY RD
FORT PIERCE, FL
34982-7148
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1376970814 — MIDWAY SPECIALTY CARE CENTER INC
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Directions to “MIDWAY IMMUNOLOGY AND RESEARCH CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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