Omsa Satellite, Corp. | |
10173 W Sunrise Blvd Plantation FL 33322-7617 | |
(954) 693-0026 | |
(954) 693-0085 |
Full Name | Omsa Satellite, Corp. |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 10173 W Sunrise Blvd, Plantation, Florida |
Authorized Official Name and Position | Ramon A Perez-rosich (PRESIDENT) |
Authorized Official Contact | 9546930026 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Omsa Satellite, Corp. 10173 W Sunrise Blvd Plantation FL 33322-7617 Ph: (954) 693-0026 | Omsa Satellite, Corp. 10173 W Sunrise Blvd Plantation FL 33322-7617 Ph: (954) 693-0026 |
NPI Number | 1003141730 |
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Provider Enumeration Date | 10/14/2009 |
Last Update Date | 10/14/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003141730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 16203 (Florida) | Primary |
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