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NPI Code Detail

MEDICARE: MY NEW OASIS, LLC.

MEDICARE: MY NEW OASIS, LLC.
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
1310400000XAssisted Living FacilityAL12493FL

General Provider Information

NPI Number : 1669883039
Entity Type Code : Organization
Provider Name (Legal Business Name) : MY NEW OASIS, LLC.
Provider Business Mailing Address
First Line : 2640 SW 32ND CT
Second Line :
City : MIAMI
State : FL
Zip : 33133-2804
Country : US
Telephone Number : 305-202-3607
Fax Number :
Provider Business Practice Location Address
First Line : 2640 SW 32ND CT
Second Line :
City : MIAMI
State : FL
Zip : 33133-2804
Country : US
Telephone Number : 305-202-3607
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. GUILLREMO G SOMEILLAN
Credential :
Telephone Number : 305-202-3607
Provider Enumeration Date : 05/19/2014
Last Update Date : 05/19/2014

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Directions to “MY NEW OASIS, LLC. ” Practice Location

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