Provider Demographics
NPI:1538505243
Name:D&G MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:D&G MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIVALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRAGUT
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:305-592-0120
Mailing Address - Street 1:2550 NW 72ND AVE
Mailing Address - Street 2:STE 208
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1350
Mailing Address - Country:US
Mailing Address - Phone:305-592-0120
Mailing Address - Fax:305-592-0210
Practice Address - Street 1:2550 NW 72ND AVE
Practice Address - Street 2:STE 208
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1350
Practice Address - Country:US
Practice Address - Phone:305-592-0120
Practice Address - Fax:305-592-0210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy