Organization Name: | OCAS THERAPY CENTER INC. |
NPI Number: | 1467540609 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ABISAI SALAZAR (OWNER/PRESIDENT) |
Mailing Address: | 6595 Nw 36th St Suite 206 Virginia Gardens |
State: | FL US |
Postal Code: | 331666979 |
Phone Number: | 3058760010 |
Fax Number: | 3058761770 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME41647 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |