Provider Demographics
NPI:1689932238
Name:OFRA GAL INC.
Entity Type:Organization
Organization Name:OFRA GAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PTA
Authorized Official - Prefix:MS
Authorized Official - First Name:OFRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-242-8043
Mailing Address - Street 1:2659 CARAMBOLA CIR N APT 204
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33066-2415
Mailing Address - Country:US
Mailing Address - Phone:954-979-0087
Mailing Address - Fax:954-975-0604
Practice Address - Street 1:2659 CARAMBOLA CIR N APT 204
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33066-2415
Practice Address - Country:US
Practice Address - Phone:954-979-0087
Practice Address - Fax:954-975-0604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA12559251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health