Healthcare Provider Details

I. General information

NPI: 1144195017
Provider Name (Legal Business Name): MEDICHOICE HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 10/09/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 NW 112TH ST
MIAMI FL
33167
US

IV. Provider business mailing address

1315 NW 112TH ST.
MIAMI FL
33167
US

V. Phone/Fax

Practice location:
  • Phone: 786-856-2437
  • Fax:
Mailing address:
  • Phone: 786-856-2437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: OBED AUBOURG
Title or Position: CEO
Credential:
Phone: 786-856-2437