MEDICARE: ANDRES OZUAL MD

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	208D00000X	General Practice Physician	016372	PR
2	208D00000X	General Practice Physician	ACN286	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	:	1184739336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRES OZUAL MD

Provider Business Mailing Address
First Line	:	8752 NW 109TH TER
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-4549
Country	:	US
Telephone Number	:	305-804-8229
Fax Number	:	844-546-1497

Provider Business Practice Location Address
First Line	:	4801 HOLLYWOOD BLVD STE B
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6545
Country	:	US
Telephone Number	:	954-927-5905
Fax Number	:	844-546-1497

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	06/23/2024

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Directions to “ ANDRES OZUAL MD” Practice Location

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