Provider Demographics
NPI:1609667997
Name:MMED ASSOCIATES LLC
Entity type:Organization
Organization Name:MMED ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERKAN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CAYGOZ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:917-922-2189
Mailing Address - Street 1:17905 WOODLAND VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-4824
Mailing Address - Country:US
Mailing Address - Phone:917-922-2189
Mailing Address - Fax:
Practice Address - Street 1:3000 E FLETCHER AVE
Practice Address - Street 2:STE 509
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613
Practice Address - Country:US
Practice Address - Phone:917-922-2189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty