# MDO MEDICAL CENTERS LLC

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

## Provider details

- **NPI number:** 1225974652
- **Authorized official:** GEORGE I ELSO (AUTHORIZED PERSONNEL)
- **Authorized official phone:** (305) 766-0552

## Contact information

- **Practice address:** 14474 COMMERCE WAY, MIAMI LAKES, FL 33016-1508
- **Practice address phone:** (305) 766-0552
- **Mailing address:** 14474 COMMERCE WAY, MIAMI LAKES, FL 33016-1508
- **Mailing address phone:** (305) 766-0552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/27/2026
- **Last updated:** 04/27/2026