MEDICARE: ON CALL PROFESSIONAL SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1447268578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ON CALL PROFESSIONAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	9600 NW 25TH ST
Second Line	:	SUITE 4 H
City	:	DORAL
State	:	FL
Zip	:	33172-1416
Country	:	US
Telephone Number	:	786-845-8209
Fax Number	:	786-845-8209

Provider Business Practice Location Address
First Line	:	9600 NW 25TH ST
Second Line	:	SUITE 4 H
City	:	DORAL
State	:	FL
Zip	:	33172-1416
Country	:	US
Telephone Number	:	786-845-8209
Fax Number	:	786-845-8209

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. FERNANDO CASTILLO
Credential	:
Telephone Number	:	786-845-8209

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	08/22/2020

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