MEDICARE: M & M CLINICAL TRIAL, 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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1386484830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M & M CLINICAL TRIAL, INC

Provider Business Mailing Address
First Line	:	14750 SW 26TH ST STE 106
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5934
Country	:	US
Telephone Number	:	786-403-9930
Fax Number	:

Provider Business Practice Location Address
First Line	:	14750 SW 26TH ST STE 106
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5934
Country	:	US
Telephone Number	:	786-403-9930
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	NEDPA ZURITA
Credential	:
Telephone Number	:	786-403-9930

Provider Enumeration Date	:	05/30/2024
Last Update Date	:	12/08/2025

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