Provider Demographics
NPI:1760461248
Name:UNIVERSAL MEDICAL SERVICES CORP.
Entity Type:Organization
Organization Name:UNIVERSAL MEDICAL SERVICES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NEIFFA
Authorized Official - Middle Name:
Authorized Official - Last Name:OJEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-512-1619
Mailing Address - Street 1:6500 W 4TH AVE
Mailing Address - Street 2:SUITE 35
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6606
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6500 W 4TH AVE
Practice Address - Street 2:SUITE 35
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33012-6606
Practice Address - Country:US
Practice Address - Phone:305-512-1619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6579174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK6256Medicare ID - Type Unspecified