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NPI Code Detail

MEDICARE: BIOTECHNOLOGIES MD, INC.

MEDICARE: BIOTECHNOLOGIES MD, 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
1247200000XOther Technician
2332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1538530449
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIOTECHNOLOGIES MD, INC.
Provider Business Mailing Address
First Line : 495 GRAND BLVD
Second Line : SUITE 206
City : MIRAMAR BEACH
State : FL
Zip : 32550-1897
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 495 GRAND BLVD
Second Line : SUITE 206
City : MIRAMAR BEACH
State : FL
Zip : 32550-1897
Country : US
Telephone Number : 855-246-0406
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. BRENT M MACDONALD JR.
Credential :
Telephone Number : 410-459-9719
Provider Enumeration Date : 10/18/2015
Last Update Date : 10/23/2015

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