# MDNP LLC

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

## Provider details

- **NPI number:** 1598122558
- **Authorized official:** ENRIQUE MASPONS ARNP (PRESIDENT)
- **Authorized official phone:** (305) 456-1153

## Contact information

- **Practice address:** 8850 NW 122ND ST, HIALEAH GARDENS, FL 33018-1748
- **Practice address phone:** (305) 351-7181
- **Practice address fax:** (305) 424-5580
- **Mailing address:** 16585 SW 44TH LN, MIAMI, FL 33185-3897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/21/2016
- **Last updated:** 05/26/2016