Provider Demographics
NPI:1447526777
Name:MEDX MEDICAL MANAGEMENT AND TECHNOLOGIES, LLC.
Entity type:Organization
Organization Name:MEDX MEDICAL MANAGEMENT AND TECHNOLOGIES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRANOVA
Authorized Official - Suffix:III
Authorized Official - Credentials:CPC
Authorized Official - Phone:305-576-9999
Mailing Address - Street 1:12550 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2541
Mailing Address - Country:US
Mailing Address - Phone:305-576-9999
Mailing Address - Fax:305-576-9945
Practice Address - Street 1:12550 BISCAYNE BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2541
Practice Address - Country:US
Practice Address - Phone:305-576-9999
Practice Address - Fax:305-576-9945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL8000596254OtherMEDICAL BILLING AND EMR