Healthcare Provider Details

I. General information

NPI: 1528091048
Provider Name (Legal Business Name): OLOFI SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12926 SW 133RD CT
MIAMI FL
33186-6587
US

IV. Provider business mailing address

720 NW 27TH CT APT. 17
MIAMI FL
33125-4346
US

V. Phone/Fax

Practice location:
  • Phone: 305-969-5390
  • Fax:
Mailing address:
  • Phone: 786-286-3338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. HECTOR L. GONZALEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-969-5390