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NPI Code Detail

MEDICARE: DOCTOR UNITED GROUP INC

MEDICARE: DOCTOR UNITED 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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1558199414
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOCTOR UNITED GROUP INC
Provider Business Mailing Address
First Line : 2150 W 76TH ST STE 100
Second Line :
City : HIALEAH
State : FL
Zip : 33016-1884
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12 PALM PLZ STE C
Second Line :
City : HOMESTEAD
State : FL
Zip : 33030-6046
Country : US
Telephone Number : 877-384-6337
Fax Number :
Authorized Official
Title or Position : LEGAL AND REGULATORY
Name : WILLIAM MAYHOOD
Credential :
Telephone Number : 612-819-1279
Provider Enumeration Date : 07/23/2024
Last Update Date : 07/23/2024

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Directions to “DOCTOR UNITED GROUP INC ” Practice Location

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