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NPI Code Detail

MEDICARE: OMA INTERNATIONAL INC

MEDICARE: OMA INTERNATIONAL 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
1261QR0400XRehabilitation Clinic/CenterHCC4109FL

General Provider Information

NPI Number : 1578505921
Entity Type Code : Organization
Provider Name (Legal Business Name) : OMA INTERNATIONAL INC
Provider Business Mailing Address
First Line : 12221 W DIXIE HWY
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-5427
Country : US
Telephone Number : 305-933-3242
Fax Number : 305-933-3318
Provider Business Practice Location Address
First Line : 12221 W DIXIE HWY
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-5427
Country : US
Telephone Number : 305-933-3242
Fax Number : 305-933-3318
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. ROGER FOREMAN
Credential :
Telephone Number : 305-933-3242
Provider Enumeration Date : 06/11/2006
Last Update Date : 08/22/2020

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Directions to “OMA INTERNATIONAL INC ” Practice Location

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