Provider Demographics
NPI:1902414675
Name:ORANGE CARE MANAGEMENT SERVICES ORGANIZATION LLC
Entity Type:Organization
Organization Name:ORANGE CARE MANAGEMENT SERVICES ORGANIZATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LISSETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:EXPOSITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-363-8500
Mailing Address - Street 1:14750 NW 77TH CT STE 308
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1537
Mailing Address - Country:US
Mailing Address - Phone:786-363-8500
Mailing Address - Fax:
Practice Address - Street 1:11011 SHERIDAN ST STE 302
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026-1532
Practice Address - Country:US
Practice Address - Phone:954-437-1500
Practice Address - Fax:954-437-0136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty