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NPI Code Detail

MEDICARE: MINORITY DEVELOPMENT & EMPOWERMENT, INC.

MEDICARE: MINORITY DEVELOPMENT & EMPOWERMENT, 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
1251K00000XPublic Health or Welfare Agency

General Provider Information

NPI Number : 1548532823
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINORITY DEVELOPMENT & EMPOWERMENT, INC.
Provider Business Mailing Address
First Line : 5225 NW 33RD AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-6302
Country : US
Telephone Number : 954-315-4530
Fax Number : 954-763-8567
Provider Business Practice Location Address
First Line : 5225 NW 33RD AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-6302
Country : US
Telephone Number : 954-315-4530
Fax Number : 954-763-8567
Authorized Official
Title or Position : CEO
Name : MR. FRANCOIS LECONTE
Credential :
Telephone Number : 954-315-4530
Provider Enumeration Date : 02/02/2012
Last Update Date : 02/02/2012

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Directions to “MINORITY DEVELOPMENT & EMPOWERMENT, INC. ” Practice Location

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