Healthcare Provider Details

I. General information

NPI: 1639445851
Provider Name (Legal Business Name): GASTON OFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2012
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21414 W DIXIE HWY
AVENTURA FL
33180-1144
US

IV. Provider business mailing address

21414 W DIXIE HWY
AVENTURA FL
33180-1144
US

V. Phone/Fax

Practice location:
  • Phone: 786-838-2727
  • Fax: 855-592-2843
Mailing address:
  • Phone: 786-838-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME159719
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberME159719
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: