Healthcare Provider Details

I. General information

NPI: 1609036037
Provider Name (Legal Business Name): OMS ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15661 SHERIDAN ST STE C4
DAVIE FL
33331-3497
US

IV. Provider business mailing address

15661 SHERIDAN ST STE C4
DAVIE FL
33331-3497
US

V. Phone/Fax

Practice location:
  • Phone: 954-693-0026
  • Fax: 954-693-0085
Mailing address:
  • Phone: 954-693-0026
  • Fax: 954-693-0085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDN16203
License Number StateFL

VIII. Authorized Official

Name: DR. RAMON A PEREZ
Title or Position: PRESIDENT
Credential: DMD
Phone: 954-693-0026