Healthcare Provider Details

I. General information

NPI: 1003223322
Provider Name (Legal Business Name): OUELLETTE GROUP PHYSICIANS FOR THE HAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2014
Last Update Date: 07/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 ALTON RD SUITE 710
MIAMI BEACH FL
33140-2891
US

IV. Provider business mailing address

3150 SW 38 AVE SUITE 600
MIAMI FL
33146-1523
US

V. Phone/Fax

Practice location:
  • Phone: 786-261-0222
  • Fax: 786-594-4650
Mailing address:
  • Phone: 786-261-0222
  • Fax: 786-594-4650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH ANNE OUELLETTE
Title or Position: DIRECTOR/OWNER
Credential: MD
Phone: 786-261-0222