South Florida Oms | |
7600 S Red Rd Suite 101 South Miami FL 33143-5428 | |
(305) 661-5297 | |
(305) 667-3503 |
Full Name | South Florida Oms |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 7600 S Red Rd, South Miami, Florida |
Authorized Official Name and Position | Randena Leonard (ADMINISTRATOR) |
Authorized Official Contact | 3056615297 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Florida Oms 7600 S Red Rd Suite 101 South Miami FL 33143-5428 Ph: (305) 661-5297 | South Florida Oms 7600 S Red Rd Suite 101 South Miami FL 33143-5428 Ph: (305) 661-5297 |
NPI Number | 1710921036 |
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Provider Enumeration Date | 06/16/2006 |
Last Update Date | 01/22/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710921036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN8052 (Florida) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN0010151 (Florida) | Primary |
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