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NPI Code Detail

MEDICARE: MANCHA GROUP INC

MEDICARE: MANCHA 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1427123637
Entity Type Code : Organization
Provider Name (Legal Business Name) : MANCHA GROUP INC
Provider Business Mailing Address
First Line : 12991 W DIXIE HWY
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-4809
Country : US
Telephone Number : 305-892-4258
Fax Number : 305-892-4259
Provider Business Practice Location Address
First Line : 12991 W DIXIE HWY
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-4809
Country : US
Telephone Number : 305-892-4258
Fax Number : 305-892-4259
Authorized Official
Title or Position : PRESIDENT
Name : MANUEL J CHAVEZ
Credential :
Telephone Number : 305-892-4258
Provider Enumeration Date : 11/22/2006
Last Update Date : 02/12/2008

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Directions to “MANCHA GROUP INC ” Practice Location

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