# MDO MEDICAL CENTERS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1598601924
- **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:** 1000 PARK CENTRE BOULEVARD, SUITE 108, MIAMI LAKES, FL 33016-1508
- **Mailing address phone:** (305) 307-1000
- **Mailing address fax:** (305) 362-4353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/27/2026
- **Last updated:** 07/27/2026