MEDICARE: OXY-STAT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	23-09-280891-61	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154420867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OXY-STAT INC

Provider Business Mailing Address
First Line	:	2056 NE153RD ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-6020
Country	:	US
Telephone Number	:	305-949-7828
Fax Number	:	305-949-7370

Provider Business Practice Location Address
First Line	:	2056 NE 153RD ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-6020
Country	:	US
Telephone Number	:	305-949-7828
Fax Number	:	305-949-7370

Authorized Official
Title or Position	:	PRESIDENT/GENERAL MANAGER
Name	:	MR. STEVEN SCHRAGA
Credential	:
Telephone Number	:	305-949-7828

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	03/10/2021

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Directions to “OXY-STAT INC ” Practice Location

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