# M&M GROUP SERVICES INC

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

## Provider details

- **NPI number:** 1538308556
- **Authorized official:** MR. MANUEL MIRANDA (PRESIDENT)
- **Authorized official phone:** (305) 202-1644

## Contact information

- **Practice address:** 9737 NW 41ST ST, SUITE 360, DORAL, FL 33178-2924
- **Practice address phone:** (305) 202-1644
- **Mailing address:** 9737 NW 41ST ST, SUITE 360, DORAL, FL 33178-2924
- **Mailing address phone:** (305) 202-1644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME 17907 | NULL | Yes |
| 208D00000X | General Practice Physician | ME 17907 | — | Yes |

## Other

- **Enumeration date:** 02/14/2009
- **Last updated:** 02/16/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08492 | MEDICARE ID- TYPE UNSPECIFIED | FL |