Provider Demographics
NPI:1841080199
Name:MM777 INC.
Entity type:Organization
Organization Name:MM777 INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAZAL MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINCHAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-736-3577
Mailing Address - Street 1:17375 COLLINS AVE # 1603
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3410
Mailing Address - Country:US
Mailing Address - Phone:718-736-3577
Mailing Address - Fax:
Practice Address - Street 1:17375 COLLINS AVE # 1603
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-3410
Practice Address - Country:US
Practice Address - Phone:718-736-3577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service