Provider Demographics
NPI:1114812880
Name:M&M'S MEDICAL CONSULTING LLC
Entity type:Organization
Organization Name:M&M'S MEDICAL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:772-626-4229
Mailing Address - Street 1:6013 PAPAYA DR
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34982-3771
Mailing Address - Country:US
Mailing Address - Phone:772-626-4229
Mailing Address - Fax:
Practice Address - Street 1:6013 PAPAYA DR
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34982-3771
Practice Address - Country:US
Practice Address - Phone:772-626-4229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care