Provider Demographics
NPI:1891077673
Name:OASIS MEDICAL ACUHEALING CORP
Entity Type:Organization
Organization Name:OASIS MEDICAL ACUHEALING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CORA
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUTCHINSON-MOODY
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:954-695-9620
Mailing Address - Street 1:1011 W OAK RIDGE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-4765
Mailing Address - Country:US
Mailing Address - Phone:407-888-8411
Mailing Address - Fax:407-888-8371
Practice Address - Street 1:1011 W OAK RIDGE RD
Practice Address - Street 2:SUITE B
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4765
Practice Address - Country:US
Practice Address - Phone:407-888-8411
Practice Address - Fax:407-888-8371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2122171100000X
FLME60805207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty