Healthcare Provider Details

I. General information

NPI: 1215953500
Provider Name (Legal Business Name): ORION MEDICAL ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 06/08/2022
Certification Date: 06/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19559 NE 10TH AVE
NORTH MIAMI BEACH FL
33179-3501
US

IV. Provider business mailing address

19559 NE 10TH AVE
NORTH MIAMI BEACH FL
33179-3501
US

V. Phone/Fax

Practice location:
  • Phone: 305-651-3261
  • Fax: 305-651-2961
Mailing address:
  • Phone: 305-651-3261
  • Fax: 305-651-2961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: STEVEN JEGER
Title or Position: VICE PRESIDENT
Credential:
Phone: 305-651-3261