Healthcare Provider Details

I. General information

NPI: 1750582375
Provider Name (Legal Business Name): OASIS MEDICAL AND REHABILITATION CENTER,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7171 CORAL WAY STE 417
MIAMI FL
33155-1693
US

IV. Provider business mailing address

7171 CORAL WAY STE 417
MIAMI FL
33155-1693
US

V. Phone/Fax

Practice location:
  • Phone: 305-266-7122
  • Fax:
Mailing address:
  • Phone: 305-266-7122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberHCC 5783
License Number StateFL

VIII. Authorized Official

Name: MS. YANURYS TAIT
Title or Position: PRESIDENT
Credential: LMT RCA
Phone: 305-266-7122