Healthcare Provider Details

I. General information

NPI: 1548996226
Provider Name (Legal Business Name): OXILINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2022
Last Update Date: 07/26/2022
Certification Date: 07/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 NW 37TH ST
MIAMI FL
33127-3111
US

IV. Provider business mailing address

140 NW 37TH ST
MIAMI FL
33127-3111
US

V. Phone/Fax

Practice location:
  • Phone: 954-376-9847
  • Fax:
Mailing address:
  • Phone: 954-376-9847
  • 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: ALAN MELILLO
Title or Position: MANAGING MEMBER
Credential:
Phone: 954-907-7946