Provider Demographics
NPI:1922722974
Name:DUMEDIC
Entity type:Organization
Organization Name:DUMEDIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DUPRAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-526-9751
Mailing Address - Street 1:PO BOX 11198
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-1198
Mailing Address - Country:US
Mailing Address - Phone:954-903-7445
Mailing Address - Fax:
Practice Address - Street 1:CALLE 2 ORIENTE MZA 23A LOT. 4 CASA7 COL. VILLAS TULUM
Practice Address - Street 2:
Practice Address - City:TULUM
Practice Address - State:QUINTANA ROO
Practice Address - Zip Code:77780
Practice Address - Country:MX
Practice Address - Phone:984-168-4065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care