Provider Demographics
NPI:1629358270
Name:DOCTOR'S MANAGMENT SERVICE GROUP, INC.
Entity Type:Organization
Organization Name:DOCTOR'S MANAGMENT SERVICE GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEYSI
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-261-0071
Mailing Address - Street 1:7005 N WATERWAY DR
Mailing Address - Street 2:#306
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2833
Mailing Address - Country:US
Mailing Address - Phone:305-261-0071
Mailing Address - Fax:305-261-0077
Practice Address - Street 1:7005 N WATERWAY DR
Practice Address - Street 2:#306
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2833
Practice Address - Country:US
Practice Address - Phone:305-261-0071
Practice Address - Fax:305-261-0077
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOCTOR'S MANAGMENT SERVICE GROUP, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization