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Mercy Medical Development Inc

Diagnostic Radiology Physician in Miami, FL · enumerated 2005 · authorized official Jerry Mashburn, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992787576

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Registry record

Entity type Organization (Type 2)
Legal business name Mercy Medical Development Inc
Other name <Unavail>
Practice address 3641 S Miami Ave, Miami, FL, 33133
Phone (305) 860-4660
Fax (305) 860-4682
Enumeration date Nov 18, 2005
Last updated in NPPES May 29, 2008

Taxonomy & classification

207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary
207UN0901X Nuclear Cardiology Physician Allopathic & Osteopathic Physicians Secondary
207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians Secondary
2085N0904X Nuclear Radiology Physician Allopathic & Osteopathic Physicians Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary
2085R0203X Therapeutic Radiology Physician Allopathic & Osteopathic Physicians Secondary
2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians Secondary
2085U0001X Diagnostic Ultrasound Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Jerry Mashburn
Title Cfo
Phone (305) 854-4400

Other identifiers

Identifier Type State Issuer
060942100 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mercy Medical Development Inc?
The NPI for Mercy Medical Development Inc is 1992787576, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mercy Medical Development Inc?
NPPES lists Jerry Mashburn (Cfo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-29.