Provider Demographics
NPI:1962668186
Name:METROPOLITAN HEALTH NETWORKS (MED BLUE)
Entity Type:Organization
Organization Name:METROPOLITAN HEALTH NETWORKS (MED BLUE)
Other - Org Name:METCARE
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBART
Authorized Official - Middle Name:
Authorized Official - Last Name:SABO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-805-8500
Mailing Address - Street 1:250 S AUSTRALIAN AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5018
Mailing Address - Country:US
Mailing Address - Phone:561-805-8500
Mailing Address - Fax:561-805-8501
Practice Address - Street 1:2729 E MOODY BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:BUNNELL
Practice Address - State:FL
Practice Address - Zip Code:32110-5963
Practice Address - Country:US
Practice Address - Phone:386-586-7005
Practice Address - Fax:386-586-7987
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BUNNELL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL40730BMedicare PIN