Provider Demographics
NPI:1912043563
Name:MJM GLOBAL ENTERPRISES INC
Entity Type:Organization
Organization Name:MJM GLOBAL ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MATIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-995-2495
Mailing Address - Street 1:1600 NW BOCA RATON BLVD
Mailing Address - Street 2:SUITE 14
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-1626
Mailing Address - Country:US
Mailing Address - Phone:561-995-2495
Mailing Address - Fax:561-892-0143
Practice Address - Street 1:1600 NW BOCA RATON BLVD
Practice Address - Street 2:SUITE 14
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1626
Practice Address - Country:US
Practice Address - Phone:561-995-2495
Practice Address - Fax:561-892-0143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312763332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4874800002Medicare NSC