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NPI Code Detail

MEDICARE: MEDPLUS ENTERPRISE, INC.

MEDICARE: MEDPLUS ENTERPRISE, 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
1207L00000XAnesthesiology PhysicianFL
2207R00000XInternal Medicine PhysicianFL

General Provider Information

NPI Number : 1518938414
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDPLUS ENTERPRISE, INC.
Provider Business Mailing Address
First Line : 3850 SW 87TH AVE
Second Line : SUITE 107
City : MIAMI
State : FL
Zip : 33165-5400
Country : US
Telephone Number : 305-220-4355
Fax Number :
Provider Business Practice Location Address
First Line : 3850 SW 87TH AVE
Second Line : SUITE 107
City : MIAMI
State : FL
Zip : 33165-5400
Country : US
Telephone Number : 305-220-4355
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. MANUEL DEL VAL
Credential :
Telephone Number : 305-220-4355
Provider Enumeration Date : 01/30/2006
Last Update Date : 11/14/2007

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Directions to “MEDPLUS ENTERPRISE, INC. ” Practice Location

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