Organization
MMG SUPPORT SERVICES, INC.
Active
Other names
MARTHA M. GONZALEZ
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA M. GONZALEZ CSC (DIRECTOR)
(305) 968-1337
Entity
Organization
Contact information
Practice address
4001 SW 144TH PL, MIAMI, FL 33175-7844
(305) 968-1337
(305) 226-7016
Mailing address
4001 SW 144TH PL, MIAMI, FL 33175-7844
(305) 968-1337
(305) 226-7016
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684706479
—
FL
Enumeration date
09/15/2008
Last updated
09/15/2008
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