=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164395331
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HM OON INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/24/2025
-----------------------------------------------------
Last Update Date | 09/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 525 S FEDERAL HWY
-----------------------------------------------------
City | DEERFIELD BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33441-4100
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-813-8399
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12 SPOOK RIDGE RD
-----------------------------------------------------
City | UPPER SADDLE RIVER
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07458-1527
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | ROBERT RODRIGUEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 917-813-8399
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QU0200X
-----------------------------------------------------
Taxonomy Name | Urgent Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------