# MED ONE MEDICAL MANAGEMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Med One Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780776401
- **Authorized official:** PIERRE R BLEMUR MD (PRESIDENT)
- **Authorized official phone:** (305) 688-5456

## Contact information

- **Practice address:** 486 FISHERMAN ST, OPA LOCKA, FL 33054-3818
- **Practice address phone:** (305) 688-5456
- **Practice address fax:** (305) 688-1661
- **Mailing address:** 486 FISHERMAN ST, OPA LOCKA, FL 33054-3818
- **Mailing address phone:** (305) 688-5456
- **Mailing address fax:** (305) 688-1661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 3262 | FL | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 05/21/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ME34811 | CARMEN URIBE LICENSE | — |
| 01 | — | ME45180 | PIERRE BLEMUR LICENSE | — |
| 01 | — | ME67381 | LAILA CHAGANI LICENSE | — |