Provider Demographics
NPI:1659707099
Name:USA MEDICAL SERVICES UNLIMETED CORP
Entity Type:Organization
Organization Name:USA MEDICAL SERVICES UNLIMETED CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ROBERTO
Authorized Official - Last Name:RONCHETTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-818-7108
Mailing Address - Street 1:6001 NW 153RD ST STE 102
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2447
Mailing Address - Country:US
Mailing Address - Phone:305-818-1708
Mailing Address - Fax:305-818-0359
Practice Address - Street 1:6001 NW 153RD ST STE 102
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2447
Practice Address - Country:US
Practice Address - Phone:305-818-1708
Practice Address - Fax:305-818-0359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-17
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC10784208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty