Organization Active NPI

M & M Medical, Inc.

  • Adult Health Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1225484272
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP3388432 Issued in FL
Legal business name
M & M MEDICAL, INC.
Practice address
5458 SE Major Way
Stuart, FL 34997-2420
Phone
(561) 328-3610
Fax
(844) 861-3079
NPI assigned
May 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Michele T Thune, ARNP
Title
President
Phone
(561) 328-3610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X ARNP3388432 FL Primary

Addresses

Primary practice location

5458 SE Major Way
Stuart, FL 34997-2420

Mailing address

5458 SE Major Way
Stuart, FL 34997-2420
Phone (561) 328-3610

Other practice location 1

942 Scott Dr
West Palm Beach, FL 33415-3852
Phone (561) 328-3610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160718001344 FL Part B Supplier - Clinic/Group Practice 6002108792 Receives reassigned benefits from 3 practitioners
Practice locations: Belle Glade, FL; Greenacres, FL; Miami, FL; Stuart, FL

National Provider Directory

National Provider Directory

Locations

306 SW 10th St
Belle Glade, FL 33430
Phone (561) 201-7481

11500 NW 7th Ave
North Miami, FL 33168
Phone (305) 751-1500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1225484272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5458 SE MAJOR WAY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349972420",
            "telephone_number": "561-328-3610",
            "fax_number": "844-861-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 SE MAJOR WAY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349972420",
            "telephone_number": "561-328-3610",
            "fax_number": "844-861-3079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "942 Scott Dr",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334153852",
            "country_code": "US",
            "telephone_number": "561-328-3610",
            "fax_number": "844-861-3079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "M & M MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "THUNE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-328-3610",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP3388432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.