Provider Demographics
NPI:1306686258
Name:DOCTOR UNITED GROUP INC
Entity type:Organization
Organization Name:DOCTOR UNITED GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEGAL & REGULATORY
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYHOOD
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:305-530-8949
Mailing Address - Street 1:5245 NW 36TH ST STE 5257
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5958
Mailing Address - Country:US
Mailing Address - Phone:305-404-8240
Mailing Address - Fax:305-306-2184
Practice Address - Street 1:5245 NW 36TH ST STE 5257
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-5958
Practice Address - Country:US
Practice Address - Phone:305-404-8240
Practice Address - Fax:305-306-2184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty