NPI Code Details Logo

NPI 1639032022

NPI 1639032022 : ONSERA MEDICAL GROUP, P.A. : BOCA RATON, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1639032022
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ONSERA MEDICAL GROUP, P.A. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/03/2025
-----------------------------------------------------
    Last Update Date     |    12/03/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    433 PLAZA REAL STE 324A 
-----------------------------------------------------
    City                 |    BOCA RATON
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33432-3932
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-289-7729
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    433 PLAZA REAL STE 324A 
-----------------------------------------------------
    City                 |    BOCA RATON
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33432-3932
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     JONATHAN  HINDS 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    561-289-7729
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.