Provider Demographics
NPI:1811093974
Name:M J MEDICAL GROUP,INC
Entity type:Organization
Organization Name:M J MEDICAL GROUP,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:POSADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-274-6437
Mailing Address - Street 1:8960 SW 87TH CT STE 15
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2284
Mailing Address - Country:US
Mailing Address - Phone:305-274-6437
Mailing Address - Fax:305-271-7148
Practice Address - Street 1:8960 SW 87TH CT STE 15
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2284
Practice Address - Country:US
Practice Address - Phone:305-274-6437
Practice Address - Fax:305-271-7148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center