Provider Demographics
NPI:1447573795
Name:OSCAR G GALVEZ MD PA
Entity Type:Organization
Organization Name:OSCAR G GALVEZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:G
Authorized Official - Last Name:GALVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-854-1004
Mailing Address - Street 1:3006 AVIATION AVE
Mailing Address - Street 2:SUITE 4A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-3864
Mailing Address - Country:US
Mailing Address - Phone:305-854-1004
Mailing Address - Fax:305-854-1006
Practice Address - Street 1:3006 AVIATION AVE
Practice Address - Street 2:SUITE 4A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-3864
Practice Address - Country:US
Practice Address - Phone:305-854-1004
Practice Address - Fax:305-854-1006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-01
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 28972174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD58634Medicare UPIN