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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 Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Diagnostic Ultrasound

2085U0001X
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
 

Nuclear Radiology

2085N0904X
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Radiation Oncology

2085R0203X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for MERCY MEDICAL DEVELOPMENT INC

NPI # 1992787576
LBN Legal business name MERCY MEDICAL DEVELOPMENT INC
Authorized official JERRY MASHBURN - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/18/2005
Last updated 05/29/2008 - About 18 years ago
Identifiers
FL Medicaid 060942100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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