| NPI | 1871160325 |
|---|---|
| Former Legal Business Name | MEDICAL MANAGEMENT AND MARKETING GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | ERIC NIEVES Mgr 407-459-0785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YP2500X Counselor, Professional | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 104100000X Social Worker | |
| 111N00000X Chiropractor | |
| 133N00000X Nutritionist | |
| 152W00000X Optometrist | |
| 163W00000X Registered Nurse | |
| 164W00000X Licensed Practical Nurse | |
| 171W00000X Contractor | |
| 183500000X Pharmacist | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-29 |