National Provider Identifier Database

MERCY MEDICAL DEVELOPMENT INC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

MERCY MEDICAL DEVELOPMENT INC
3641 S MIAMI AVE
MIAMI, FL33133-4205
Phone: 305-860-4660
Fax: 305-860-4682
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Anatomic Pathology & Clinical Pathology 207ZP0102X
Diagnostic Ultrasound 2085U0001X
Nuclear Cardiology 207UN0901X
Nuclear Radiology 2085N0904X
Pulmonary Disease 207RP1001X
Radiation Oncology 2085R0203X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for MERCY MEDICAL DEVELOPMENT INC

NPI Number 1992787576
Legal business name
LBN
MERCY MEDICAL DEVELOPMENT INC
Authorized official JERRY MASHBURN - (CFO)
Entity Organization
Organization subpart No
Enumeration date 11/18/2005
Last updated 05/29/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 060942100

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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