Organization · Type 2 NPI

MMD Professional Services Corp

Clinic/Center · Port St. Lucie, FL

NPI number 1477290096 Active

Practice location

1680 SW Bayshore Boulevard, Suite 100
Port St. Lucie, FL 34984

Mailing address

13311 Granger Ave
Orlando, FL 32827-3857

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1477290096

MMD Professional Services Corp's National Provider Identifier is 1477290096, issued on May 16, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on May 16, 2022.