| Mmd Professional Services Corp | |
|
1680 Sw Bayshore Boulevard Suite 100 Port St. Lucie FL 34984 | |
| (786) 715-7072 | |
| Not Available |
| Full Name | Mmd Professional Services Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 1680 Sw Bayshore Boulevard, Port St. Lucie, Florida |
| Authorized Official Name and Position | Miguel H Garcia Pedraja (BCBA) |
| Authorized Official Contact | 7867157072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmd Professional Services Corp 13311 Granger Ave Orlando FL 32827-3857 Ph: (786) 715-7072 | Mmd Professional Services Corp 1680 Sw Bayshore Boulevard Suite 100 Port St. Lucie FL 34984 Ph: (786) 715-7072 |
| NPI Number | 1477290096 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 05/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477290096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
University Medical Clinics Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 Nw Lake Whitney Place, 106, Port St. Lucie, FL 34986 Phone: 772-621-9993 Fax: 772-621-9923 | |
Medical Solutions Consultants Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7025 Oleander Ave., Port St. Lucie, FL 34952 Phone: 609-744-4133 |