OAKLAND MED GROUP CORP. NPI 1386979540

NPI Information

NPI: 1386979540
Provider Name: OAKLAND MED GROUP CORP.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
7800 W OAKLAND PARK BLVD
SUITE B-104
SUNRISE, FL
ZIP 33351
Phone: (954) 626-0352
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OAKLAND MED GROUP CORP. is a general practice in Sunrise, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee OAKLAND MED GROUP CORP. NPI is 1386979540. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7800 W OAKLAND PARK BLVD
SUITE B-104
SUNRISE, FL
ZIP 33351-741
Phone: (954) 626-0352
Fax: (954) 626-0354

The provider's authorized official is Edgar N Escobar .
The authorized official title is Doctor and has the following contact phone number (954) 626-0352.

The enumeration date for this NPI number is 10/6/2009 and was last updated on 1/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		ME65056	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	23808	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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