MMD PROFESSIONAL SERVICES CORP
NPI 1477290096
Clinic/Center in Port St. Lucie, FL

Q: What is Mmd Professional Services Corp's NPI number?

The NPI number for Mmd Professional Services Corp is 1477290096. It was assigned to this organization in the NPPES registry on May 16, 2022.

Q: What is Mmd Professional Services Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 16, 2022

1680 SW BAYSHORE BOULEVARD, SUITE 100, PORT ST. LUCIE, FL 34984(786) 715-7072 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mmd Professional Services Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MMD PROFESSIONAL SERVICES CORP (NPI 1477290096) is a healthcare organization registered as a clinic/center in Port St. Lucie, Florida and active in the NPI registry since May 2022. The organization lists Miguel H Garcia Pedraja, Bcba, as its authorized official.

NPPES Registry Identity

NPI1477290096

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameMMD PROFESSIONAL SERVICES CORP

Location Address1680 SW BAYSHORE BOULEVARD, SUITE 100Port St. Lucie, FL 34984

Mailing Address13311 Granger AveOrlando, FL 32827-3857 · (786) 715-7072

Phone(786) 715-7072

Organization SubpartNo

Authorized OfficialMiguel H Garcia PedrajaBcba · (786) 715-7072

Enumeration DateMay 16, 2022

NPPES CertifiedApril 19, 2022

✔ NPI 1477290096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1680 SW BAYSHORE BOULEVARD, Port St. Lucie, FL 34984

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mmd Professional Services Corp's NPI number?

The NPI number for Mmd Professional Services Corp is 1477290096. It was assigned to this organization in the NPPES registry on May 16, 2022.

Where is Mmd Professional Services Corp located?

Mmd Professional Services Corp is located at 1680 SW Bayshore Boulevard Suite 100, Port St. Lucie, FL 34984. The listed phone number is (786) 715-7072.

What is Mmd Professional Services Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Mmd Professional Services Corp was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.