Healthcare Provider Details

I. General information

NPI: 1821046673
Provider Name (Legal Business Name): OCCUPATION HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3399 NW 72ND AVE SUITE 101
MIAMI FL
33122-1349
US

IV. Provider business mailing address

3399 NW 72ND AVE SUITE 101
MIAMI FL
33122-1349
US

V. Phone/Fax

Practice location:
  • Phone: 305-599-9933
  • Fax: 305-594-2722
Mailing address:
  • Phone: 305-599-9933
  • Fax: 305-594-2722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number StateFL

VIII. Authorized Official

Name: MARTHA ORTIZ
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 954-874-4616