Organization
MRJ MEDICAL INC
Active
Other names
MRJ Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAMONA PEREZ KORBA (ADMINISTRATOR)
(954) 383-2775
Entity
Organization
Contact information
Practice address
130 S UNIVERSITY DR STE F, PLANTATION, FL 33324-3347
(954) 990-4476
(954) 206-4452
Mailing address
130 S UNIVERSITY DR STE F, PLANTATION, FL 33324-3347
(954) 990-4476
(954) 206-4452
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
020462300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020462300
—
FL
Enumeration date
10/02/2017
Last updated
02/18/2020
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