Provider Demographics
NPI:1942880299
Name:MD PLUS, INC.
Entity Type:Organization
Organization Name:MD PLUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:W
Authorized Official - Last Name:HURBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-985-3484
Mailing Address - Street 1:2101 VISTA PKWY STE 127
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2706
Mailing Address - Country:US
Mailing Address - Phone:561-985-3484
Mailing Address - Fax:
Practice Address - Street 1:2101 VISTA PKWY STE 127
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2706
Practice Address - Country:US
Practice Address - Phone:561-985-3484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine