<Unavail>
LBN: Mercy Medical Development Inc
<Unavail> is an health care organization with primary practice located at 3641 S Miami Ave , Miami FL 33133-4205. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Mercy Medical Development Inc can be contacted via phone (305) 860-4660, or through Mashburn, Jerry via phone (305) 854-4400.
Contact Information
Primary practice address
3641 S Miami Ave
Miami FL 33133-4205
Phone: (305) 860-4660
Fax: (305) 860-4682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ||
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | ||
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ||
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ||
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | ||
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X |
Profile Details
| NPI number | 1992787576 |
|---|---|
| LBN Legal business name | Mercy Medical Development Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Mashburn, Jerry |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | May 29th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992787576 | NPPES |
| Florida | MEDICAID | 060942100 |
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