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NPI Code Detail

MEDICARE: OMI OF AVENTURA INC

MEDICARE: OMI OF AVENTURA 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
1261QR0200XRadiology Clinic/Center

General Provider Information

NPI Number : 1760444863
Entity Type Code : Organization
Provider Name (Legal Business Name) : OMI OF AVENTURA INC
Provider Business Mailing Address
First Line : 2200 N COMMERCE PARKWAY
Second Line : STE 100
City : WESTON
State : FL
Zip : 33326
Country : US
Telephone Number : 954-888-6411
Fax Number : 954-888-6414
Provider Business Practice Location Address
First Line : 20880 W DIXIE HIGHWAY
Second Line : STE 111
City : NORTH MIAMI BEACH
State : FL
Zip : 33180
Country : US
Telephone Number : 305-933-9565
Fax Number : 305-933-8105
Authorized Official
Title or Position : CFO
Name : ALAN BABITZ
Credential :
Telephone Number : 954-888-6411
Provider Enumeration Date : 04/04/2006
Last Update Date : 04/08/2008

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Directions to “OMI OF AVENTURA INC ” Practice Location

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