OrganizationActive
Mmd Professional Services Corp
NPI 1477290096 · Clinic/Center · Port St. Lucie, FL
Mmd Professional Services Corp is a Clinic/Center organization in Port St. Lucie, FL (NPI 1477290096).
Provider details
- NPI number
- 1477290096
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Miguel Garcia Pedraja, Bcba(786) 715-7072
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1680 Sw Bayshore Boulevard
Suite 100
Port St. Lucie, FL 34984
Phone: (786) 715-7072
Street-level locationGet directions
Mailing address
13311 Granger Ave
Orlando, FL 32827-3857
Registry dates
- Enumerated
- 2022-05-16
- Last updated
- 2022-05-16
- Certified
- 2022-04-19
Frequently asked questions
- What is Mmd Professional Services Corp's NPI number?
- Mmd Professional Services Corp's National Provider Identifier (NPI) is 1477290096, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mmd Professional Services Corp?
- Mmd Professional Services Corp is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mmd Professional Services Corp located?
- Mmd Professional Services Corp's practice location on file with NPPES is 1680 Sw Bayshore Boulevard, Port St. Lucie, FL 34984.
- What is Mmd Professional Services Corp's phone number?
- The practice phone number listed in the NPPES registry for Mmd Professional Services Corp is (786) 715-7072.
- Who is the authorized official for Mmd Professional Services Corp?
- The authorized official listed on Mmd Professional Services Corp's NPPES record is Miguel Garcia Pedraja, Bcba. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mmd Professional Services Corp's NPI active?
- Yes — Mmd Professional Services Corp's NPI (1477290096) is active in the NPPES registry as of the last update on 2022-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.