# M&M MEDICAL SUPPORT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104364421
- **Authorized official:** MARCY MIELZ (BILLING MANAGER)
- **Authorized official phone:** (561) 482-1144

## Contact information

- **Practice address:** 2449 GLADES ROAD, SUITE 109, BOCA RATON, FL 33431-7256
- **Practice address phone:** (561) 417-9355
- **Practice address fax:** (561) 417-9488
- **Mailing address:** 9858 CLINT MOORE RD, C111-274, BOCA RATON, FL 33496-1034
- **Mailing address phone:** (561) 482-1144
- **Mailing address fax:** (561) 482-1145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2017
- **Last updated:** 02/07/2017