Organization
M&M GROUP SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL MIRANDA (PRESIDENT)
(305) 202-1644
Entity
Organization
Contact information
Practice address
9737 NW 41ST ST, SUITE 360, DORAL, FL 33178-2924
(305) 202-1644
Mailing address
9737 NW 41ST ST, SUITE 360, DORAL, FL 33178-2924
(305) 202-1644
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME 17907
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08492
MEDICARE ID- TYPE UNSPECIFIED
FL
Enumeration date
02/14/2009
Last updated
02/16/2010
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