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Organization
MMD PROFESSIONAL SERVICES, CORP.
Active
Organization
MMD PROFESSIONAL SERVICES, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL A GARCIA (CLINICAL DIRECTOR)
(786) 715-7072
Entity
Organization
Contact information
Practice address
1680 SW BAYSHORE BLVD STE 100, PORT ST LUCIE, FL 34984-3518
(772) 610-3947
(772) 610-3952
Mailing address
1680 SW BAYSHORE BLVD STE 100, PORT ST LUCIE, FL 34984-3518
(772) 610-3947
(772) 610-3952
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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