Provider Demographics
NPI:1699364786
Name:OCEANIA MEDICAL GROUP CORP
Entity Type:Organization
Organization Name:OCEANIA MEDICAL GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-553-4724
Mailing Address - Street 1:7850 NW 146TH ST STE 508
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1516
Mailing Address - Country:US
Mailing Address - Phone:786-673-9720
Mailing Address - Fax:
Practice Address - Street 1:7850 NW 146TH ST STE 508
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1516
Practice Address - Country:US
Practice Address - Phone:786-673-9720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management