=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205158920
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BEST HEALTHCARE OF OAKLAND PARK
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/22/2010
-----------------------------------------------------
Last Update Date | 02/22/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2704 W OAKLAND PARK BLVD
-----------------------------------------------------
City | OAKLAND PARK
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33311-1336
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-739-3455
-----------------------------------------------------
Fax | 954-777-2796
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2704 W OAKLAND PARK BLVD
-----------------------------------------------------
City | OAKLAND PARK
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33311-1336
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-739-3455
-----------------------------------------------------
Fax | 954-777-2796
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. MITCHELL J JOMSKY
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 954-739-3455
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0100X
-----------------------------------------------------
Taxonomy Name | Health Service Clinic/Center
-----------------------------------------------------
License Number | CH6006
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------