Organization
MMD PROFESSIONAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL H GARCIA PEDRAJA (BCBA)
(786) 715-7072
Entity
Organization
Contact information
Practice address
1680 SW BAYSHORE BOULEVARD, SUITE 100, PORT ST. LUCIE, FL 34984
(786) 715-7072
Mailing address
13311 GRANGER AVE, ORLANDO, FL 32827-3857
(786) 715-7072
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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