Mua Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OSR632 Issued in FL

Legal business name

MUA CENTER, LLC

Practice address

132 Benmore Dr
Winter Park, FL 32792-4101

Phone

(407) 756-1051

Fax

(407) 756-1054

NPI assigned

Oct 23, 2008

Last updated

Oct 28, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Mountain, DC

Title

Manager

Phone

(407) 756-1051

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1215180146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 BENMORE DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924101",
            "telephone_number": "407-756-1051",
            "fax_number": "407-756-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 BENMORE DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924101",
            "telephone_number": "407-756-1051",
            "fax_number": "407-756-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUA CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "MOUNTAIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-756-1051",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "OSR632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.