Mercy Outpatient Center

LBN: Mercy Medical Development Inc
Mercy Outpatient Center is an health care organization with primary practice located at 3641 S Miami Ave , Miami FL 33133-4205. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Mercy Medical Development Inc can be contacted via phone (305) 860-4660, or through Mashburn, Jerry via phone (305) 854-4400.

Contact Information

Primary practice address
3641 S Miami Ave Miami FL 33133-4205
Phone: (305) 860-4660
Fax: (305) 860-4682
Website:
Map and Directions
Authorized official contact:
Name: Mashburn, Jerry
Phone: (305) 854-4400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X

Profile Details

NPI number 1992787576
LBN Legal business name Mercy Medical Development Inc
DBA Doing business as Mercy Outpatient Center
Authorized official Mashburn, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2005
Last updated May 29th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992787576 NPPES
Florida MEDICAID 060942100

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