Provider Demographics
NPI:1801098926
Name:GAME, MARIA BELEN (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:BELEN
Last Name:GAME
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 E COMMERCIAL BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4124
Mailing Address - Country:US
Mailing Address - Phone:954-909-5709
Mailing Address - Fax:954-909-5709
Practice Address - Street 1:2500 E COMMERCIAL BLVD STE D
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308
Practice Address - Country:US
Practice Address - Phone:954-909-5708
Practice Address - Fax:954-909-5709
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2023-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME116126208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice