MEDICARE: ONE STOP MEDICAL CENTER 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	261QM1300X	Multi-Specialty Clinic/Center	HCC 7444	FL

General Provider Information

NPI Number	:	1750436424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE STOP MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	2880 W OAKLAND PARK BLVD
Second Line	:	STE 207
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1354
Country	:	US
Telephone Number	:	954-535-2231
Fax Number	:

Provider Business Practice Location Address
First Line	:	2880 W OAKLAND PARK BLVD
Second Line	:	STE 207
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1354
Country	:	US
Telephone Number	:	954-535-2231
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MADELENA SOUTO
Credential	:
Telephone Number	:	954-535-2231

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	08/22/2020

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Directions to “ONE STOP MEDICAL CENTER INC ” Practice Location

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