Provider Demographics
NPI:1316191653
Name:A & O SERVICE CORP
Entity Type:Organization
Organization Name:A & O SERVICE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEITAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-539-6429
Mailing Address - Street 1:7483 SW 24TH ST
Mailing Address - Street 2:STE 103
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1454
Mailing Address - Country:US
Mailing Address - Phone:786-539-6429
Mailing Address - Fax:
Practice Address - Street 1:7483 SW 24TH ST
Practice Address - Street 2:STE 103
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1454
Practice Address - Country:US
Practice Address - Phone:786-539-6429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile