Provider Demographics
NPI:1073199154
Name:DMS TELEHEALTH OKLAHOMA LLC
Entity Type:Organization
Organization Name:DMS TELEHEALTH OKLAHOMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SORIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-866-6444
Mailing Address - Street 1:2255 GLADES RD STE 321A
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7383
Mailing Address - Country:US
Mailing Address - Phone:561-866-6444
Mailing Address - Fax:
Practice Address - Street 1:3502 E GORE BLVD APT 4302
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-9012
Practice Address - Country:US
Practice Address - Phone:972-786-3602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-20
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty