Provider Demographics
NPI:1689444226
Name:MEDICAL ARTS NETWORK INC
Entity Type:Organization
Organization Name:MEDICAL ARTS NETWORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:MATHEW
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:305-494-9321
Mailing Address - Street 1:6250 DOLPHIN DR
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33158-1845
Mailing Address - Country:US
Mailing Address - Phone:305-494-9321
Mailing Address - Fax:
Practice Address - Street 1:6250 DOLPHIN DR
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33158-1845
Practice Address - Country:US
Practice Address - Phone:305-494-9321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty