Mdy Primary Care Medicine P A in Davenport - Specialist
Mdy Primary Care Medicine P A - NPI 1497974133
Mdy Primary Care Medicine P A is a Specialist in Davenport, Florida. Mdy Primary Care Medicine P A practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mdy Primary Care Medicine P A is 1497974133. The last update date is 2017-01-03.
Mdy Primary Care Medicine P A's current location address is 102 Park Place Blvd, Davenport, Florida. You can contact this provider via phone number 8634220032 and fax number 8634223275. The mailing address for Mdy Primary Care Medicine P A is 102 Park Place Blvd, Davenport, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mdy Primary Care Medicine P A |
|---|---|
| Address | 102 Park Place Blvd, Davenport, Florida |
| Phone Number | 8634220032 |
| Fax Number | 8634223275 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Yee R Margaret |
| Credentials | MD |
| Telephone Number | 8634220032 |
NPI Number Detail
| NPI Number | 1497974133 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2017-01-03 |
Provider Mailing Address Detail
| Address | 102 Park Place Blvd |
|---|---|
| City | Davenport |
| State | Florida (FL) |
| Post Code | 338376857 |
| Phone Number | 8634220032 |
| Fax Number | 8634223275 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME0072925 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DG2237 | FL | MEDICARE RAILROAD CARRIER |
Post Comment/ Review Below
What is the unique identification code assigned to Mdy Primary Care Medicine P A by the Centers for Medicare & Medicaid Services?
The Mdy Primary Care Medicine P A has been issued the NPI (National Provider Identifier) 1497974133. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mdy Primary Care Medicine P A?
The Mdy Primary Care Medicine P A is situated at 102 Park Place Blvd, in the city of Davenport, state of FL, with the zip code 338376857.
What is Mdy Primary Care Medicine P A's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mdy Primary Care Medicine P A is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497974133 to Mdy Primary Care Medicine P A?
The Centers for Medicare & Medicaid Services assigned the 1497974133 to Mdy Primary Care Medicine P A on 2007-04-24.
When was the information regarding Mdy Primary Care Medicine P A, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mdy Primary Care Medicine P A, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-01-03.