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NPI Code Detail

MEDICARE: M & G HEALTHCARE SERVICES LLC

MEDICARE: M & G HEALTHCARE SERVICES LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1639583305
Entity Type Code : Organization
Provider Name (Legal Business Name) : M & G HEALTHCARE SERVICES LLC
Provider Business Mailing Address
First Line : 2338 W OAK RIDGE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32809-3706
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2338 W OAK RIDGE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32809-3706
Country : US
Telephone Number : 407-766-8682
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : MIREILLE AUXILA
Credential :
Telephone Number : 407-766-8682
Provider Enumeration Date : 06/20/2014
Last Update Date : 06/20/2014

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Directions to “M & G HEALTHCARE SERVICES LLC ” Practice Location

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