=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992693345
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OSSO HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/25/2025
-----------------------------------------------------
Last Update Date | 06/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 400 ARTHUR GODFREY RD # 200-22
-----------------------------------------------------
City | MIAMI BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33140-3516
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-275-9690
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1661 WEST AVE PO BOX 399104
-----------------------------------------------------
City | MIAMI BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33139-9997
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-275-9690
-----------------------------------------------------
Fax | 531-200-7546
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | AMIR MAHAJER
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 941-275-9690
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208100000X
-----------------------------------------------------
Taxonomy Name | Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------