Mgm Ipa Dade 001 Llc

LBN: Mgm Ipa Dade 001 Llc
Mgm Ipa Dade 001 Llc is an health care organization with primary practice located at 8318 Sw 193Rd St , Cutler Bay FL 33157-8085. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Managed Care Organizations / Exclusive Provider Organization. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Mgm Ipa Dade 001 Llc can be contacted via phone (305) 964-5119, or through Espino, Mario Armando via phone (786) 395-1165.

Contact Information

Primary practice address
8318 Sw 193Rd St Cutler Bay FL 33157-8085
Phone: (305) 964-5119
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Espino, Mario Armando
Phone: (786) 395-1165

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1619303112
LBN Legal business name Mgm Ipa Dade 001 Llc
DBA Doing business as
Authorized official Espino, Mario Armando
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2013
Last updated Sep 17th, 2013 - about 13 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.

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