Provider Demographics
NPI:1679890909
Name:ORIENTAL MEDICAL CENTER MAI TAR INC.
Entity Type:Organization
Organization Name:ORIENTAL MEDICAL CENTER MAI TAR INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIKI
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:407-248-0755
Mailing Address - Street 1:8815 CONROY WINDERMERE RD # 416
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-3129
Mailing Address - Country:US
Mailing Address - Phone:954-336-0945
Mailing Address - Fax:
Practice Address - Street 1:7362 FUTURES DR STE 1
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9086
Practice Address - Country:US
Practice Address - Phone:407-248-0755
Practice Address - Fax:407-248-0756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2740171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty