| Mg Medical Facility Inc | |
|
1821 Nw 123rd Ave Pembroke Pines FL 33026-3825 | |
| (954) 432-8856 | |
| (954) 432-8955 |
| Full Name | Mg Medical Facility Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 1821 Nw 123rd Ave, Pembroke Pines, Florida |
| Authorized Official Name and Position | Maria De Jesus Rodriguez (OFFICE MANAGER) |
| Authorized Official Contact | 9544328856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mg Medical Facility Inc 1821 Nw 123rd Ave Pembroke Pines FL 33026-3825 Ph: (954) 432-8856 | Mg Medical Facility Inc 1821 Nw 123rd Ave Pembroke Pines FL 33026-3825 Ph: (954) 432-8856 |
| NPI Number | 1710227988 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 02/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710227988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC6432 (Florida) | Primary |
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