MEDICARE: CMA MEDS

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	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497056667
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CMA MEDS

Provider Business Mailing Address
First Line	:	1000 PARK CENTRE BLVD
Second Line	:	SUITE 100
City	:	MIAMI
State	:	FL
Zip	:	33169-5373
Country	:	US
Telephone Number	:	305-621-0023
Fax Number	:	305-628-6121

Provider Business Practice Location Address
First Line	:	5801 MIAMI LAKES DR E
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-2401
Country	:	US
Telephone Number	:	305-821-9115
Fax Number	:	305-821-9150

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARY CHEN
Credential	:
Telephone Number	:	305-621-0023

Provider Enumeration Date	:	11/04/2010
Last Update Date	:	07/18/2012

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Directions to “CMA MEDS ” Practice Location

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