MEDICARE: OSLER MEDICAL 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	207R00000X	Internal Medicine Physician		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	:	1538318589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSLER MEDICAL INC

Provider Business Mailing Address
First Line	:	930 S HARBOR CITY BLVD
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-1963
Country	:	US
Telephone Number	:	321-725-5050
Fax Number	:	321-725-9100

Provider Business Practice Location Address
First Line	:	8057 SPYGLASS HILL RD
Second Line	:	SUITE 102
City	:	MELBOURNE
State	:	FL
Zip	:	32940-8565
Country	:	US
Telephone Number	:	321-435-3500
Fax Number	:	321-435-3501

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	LAURIE D BRITT
Credential	:
Telephone Number	:	321-725-5050

Provider Enumeration Date	:	09/15/2008
Last Update Date	:	09/15/2008

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Directions to “OSLER MEDICAL INC ” Practice Location

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