Active NPI
MRJ Medical Inc
- Developmentally Disabled Services Day Training Agency
- Plantation, FL
National Provider Identifier
1649034661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- MRJ MEDICAL INC
- Practice address
- 130 S University Dr Ste F
Plantation, FL 33324-3347 - Phone
- (954) 990-4476
- Fax
- (954) 206-4452
- NPI assigned
- Feb 9, 2024
- Organization subpart
- Yes
- Parent organization
- MRJ MEDICAL INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramona Perez Korba
- Title
- Administrator
- Phone
- (954) 990-4476
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
130 S University Dr Ste F
Plantation, FL 33324-3347
Mailing address
130 S University Dr Ste F
Plantation, FL 33324-3347
Phone (954) 990-4476
Other names 1
- MRJ SERVICES INC
National Provider Directory
National Provider Directory- Tax ID family
- MRJ Medical Inc
- Part of
- MRJ Medical Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmental Disabilities Clinic/Center
- Plantation, FL
- NPI 1245740521
-
- In Home Supportive Care Agency
- Plantation, FL
- NPI 1992213540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707436800000",
"number": "1649034661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S UNIVERSITY DR STE F",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243347",
"telephone_number": "954-990-4476",
"fax_number": "954-206-4452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S UNIVERSITY DR STE F",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243347",
"telephone_number": "954-990-4476",
"fax_number": "954-206-4452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MRJ MEDICAL INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MRJ MEDICAL INC",
"enumeration_date": "2024-02-09",
"last_updated": "2024-02-09",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "PEREZ KORBA",
"authorized_official_first_name": "RAMONA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "954-990-4476"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MRJ SERVICES INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.