Provider Demographics
NPI:1417593930
Name:ON POINT HEALTH MEDICAL CENTER
Entity Type:Organization
Organization Name:ON POINT HEALTH MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VICTOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-307-4379
Mailing Address - Street 1:1277 ROSEGATE BLVD
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-1821
Mailing Address - Country:US
Mailing Address - Phone:561-307-4379
Mailing Address - Fax:
Practice Address - Street 1:4431 WESTROADS DR
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1207
Practice Address - Country:US
Practice Address - Phone:561-452-8054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-19
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center