Organization
MARIO MAGCALAS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAME MADALI (ADMINISTRATOR)
(954) 538-8543
Entity
Organization
Contact information
Practice address
10794 PINES BLVD, SUITE 205, PEMBROKE PINES, FL 33026-3920
(954) 538-8543
(954) 431-8153
Mailing address
10794 PINES BLVD, SUITE 205, PEMBROKE PINES, FL 33026-3920
(954) 538-8543
(954) 431-8153
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117970000
—
FL
Enumeration date
09/26/2006
Last updated
05/17/2023
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