MD Medical Operations LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MD MEDICAL OPERATIONS LLC

Practice address

410 1St St S
Winter Haven, FL 33880-3504

Phone

(863) 821-0020

NPI assigned

Oct 2, 2017

Organization subpart

No

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

Authorized official

Name

Rodolfo Dumenigo

Title

Member

Phone

(305) 537-0046

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1770093916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803504",
            "telephone_number": "863-821-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MEDICAL OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "DUMENIGO",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "305-537-0046"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celica McKinnon
• Shawnese McLeod, APRN
• Jordan Alexes McMillen
• Stephen Louis McNally, APRN
• Steven Craig McNutt, D.D.S., P.A.
• Sarah Means
• Medhealth Group, LLC
• Mediation & Counseling Consultants, Inc. (Body Psychology)
• Medical Home Alliance LLC (IMA Winter Haven Dispensary)
• Raquel Enid Medina Roldan, RBT-24-391837

• Primary Care Clinic/Center in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.