Provider Demographics
NPI:1275522872
Name:MED PLUS INC
Entity Type:Organization
Organization Name:MED PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BLEMUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-683-6773
Mailing Address - Street 1:3500 NW 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-5540
Mailing Address - Country:US
Mailing Address - Phone:305-633-6777
Mailing Address - Fax:305-633-6773
Practice Address - Street 1:3500 NW 17TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-5540
Practice Address - Country:US
Practice Address - Phone:305-633-6777
Practice Address - Fax:305-633-6773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC3390207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K6538Medicare ID - Type Unspecified