Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mmd Professional Services Corp

Organization Clinic/Center · NPI 1477290096

Mmd Professional Services Corp is a Clinic/Center in Port St Lucie, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1680 SW Bayshore Blvd Ste 100
Port St Lucie, FL 34984
Phone: (786) 715-7072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1477290096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miguel Garcia Pedraja — Bcba · (786) 715-7072
NPI enumeratedMay 16, 2022
Last updated in NPPESMay 16, 2022
Certification dateApril 19, 2022
Mailing address13311 Granger Ave, Orlando, FL 32827-3857

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