Provider Demographics
NPI:1114302841
Name:MEDIRECTORS, LLC
Entity Type:Organization
Organization Name:MEDIRECTORS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-945-6779
Mailing Address - Street 1:6971 N FEDERAL HWY
Mailing Address - Street 2:SUITE 403
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1656
Mailing Address - Country:US
Mailing Address - Phone:561-945-6779
Mailing Address - Fax:
Practice Address - Street 1:3000 SW 148TH AVE
Practice Address - Street 2:SUITE 215
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4169
Practice Address - Country:US
Practice Address - Phone:561-945-6779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-23
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME66508208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty