Provider Demographics
NPI:1588211957
Name:OAC ACTION CONSTRUCTION CORP.
Entity Type:Organization
Organization Name:OAC ACTION CONSTRUCTION CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OZVARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-256-6655
Mailing Address - Street 1:11980 SW 144TH CT STE 101
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-8603
Mailing Address - Country:US
Mailing Address - Phone:305-256-6655
Mailing Address - Fax:305-256-1000
Practice Address - Street 1:11980 SW 144TH CT STE 101
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-8603
Practice Address - Country:US
Practice Address - Phone:305-256-6655
Practice Address - Fax:305-256-1000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-21
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty