MEDICARE: MEDICAL COMFORT & THERAPY 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
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1730526922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL COMFORT & THERAPY GROUP INC

Provider Business Mailing Address
First Line	:	9010 SW 137TH AVE STE 218
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-1438
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9010 SW 137TH AVE STE 218
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-1438
Country	:	US
Telephone Number	:	305-789-4563
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALEXANDER MIRANDA
Credential	:
Telephone Number	:	305-789-4563

Provider Enumeration Date	:	05/28/2013
Last Update Date	:	05/28/2013

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