MEDICARE: OH MARKETING SERVICES

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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1477974806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OH MARKETING SERVICES

Provider Business Mailing Address
First Line	:	4005 N A1A
Second Line	:	SUITES 1, 2, 3
City	:	FORT PIERCE
State	:	FL
Zip	:	34949-8524
Country	:	US
Telephone Number	:	772-252-1125
Fax Number	:

Provider Business Practice Location Address
First Line	:	4005 N A1A
Second Line	:	SUITES 1, 2, 3
City	:	FORT PIERCE
State	:	FL
Zip	:	34949-8524
Country	:	US
Telephone Number	:	772-252-1125
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	IMELDA WELLINGTON
Credential	:
Telephone Number	:	772-252-1125

Provider Enumeration Date	:	01/03/2014
Last Update Date	:	01/03/2014

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Directions to “OH MARKETING SERVICES ” Practice Location

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