Provider Demographics
NPI:1891018610
Name:OVERSEAS MEDICAL CENTER
Entity Type:Organization
Organization Name:OVERSEAS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REINALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMAS MARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:561-832-3626
Mailing Address - Street 1:333 SOUTHERN BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-2654
Mailing Address - Country:US
Mailing Address - Phone:561-832-3626
Mailing Address - Fax:561-832-3627
Practice Address - Street 1:333 SOUTHERN BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-2654
Practice Address - Country:US
Practice Address - Phone:561-832-3626
Practice Address - Fax:561-832-3627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9295273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMM24354OtherMASSAGE ESTABLICHMENT LICENSE
FL9295OtherAHCA CERTIFICATE OF EXEMPTION