Organization
MP DIVERSIFIED SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN FUNDORA (OWNER)
(786) 380-7553
Entity
Organization
Contact information
Practice address
311 SW 71ST AVE, MIAMI, FL 33144
(305) 418-0731
(305) 418-0731
Mailing address
311 SW 71ST AVE, MIAMI, FL 33144
(305) 418-0731
(305) 418-0731
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11641
FL
Other
Enumeration date
02/08/2013
Last updated
05/23/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up