Master Medical Group, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MASTER MEDICAL GROUP, LLC

Practice address

1058 Ceasars CT
Mount Dora, FL 32757-6506

Phone

(352) 735-1144

NPI assigned

Jan 16, 2016

Organization subpart

No

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

Authorized official

Name

Nehme Gabriel, M.D.

Title

MGR

Phone

(352) 735-1144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1457718777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 CEASARS CT",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 CEASARS CT",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576506",
            "telephone_number": "352-735-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTER MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-16",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "NEHME",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "352-735-1144",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Elaine Martin, A.P.
• Emily Martinez
• Lorena Martinez, MASTERS
• Martino Rosalva MD PA
• Tiffany Mason
• Megan Matheney
• Christie Matos
• Neeta Harshavardhan Mauskar, PA-C
• Mariam Javed Mayet-Khan, DO
• Don Asia McBride

• Specialist in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.