Provider Demographics
NPI:1497242044
Name:ONS OF FLORIDA III, LLC
Entity Type:Organization
Organization Name:ONS OF FLORIDA III, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-784-2484
Mailing Address - Street 1:8323 NW 12TH ST STE 8323NW12
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1829
Mailing Address - Country:US
Mailing Address - Phone:305-784-2484
Mailing Address - Fax:
Practice Address - Street 1:8323 NW 12TH ST STE 8323NW12
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1829
Practice Address - Country:US
Practice Address - Phone:305-784-2484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-19
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty