Provider Demographics
NPI:1932464062
Name:OPD HEALTHCARE HOSPITALISTS INC
Entity Type:Organization
Organization Name:OPD HEALTHCARE HOSPITALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:OSCAR
Authorized Official - Last Name:RONCAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-513-1956
Mailing Address - Street 1:7905 PRESERVE CIR APT 131
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-6707
Mailing Address - Country:US
Mailing Address - Phone:239-513-1956
Mailing Address - Fax:239-513-1956
Practice Address - Street 1:7905 PRESERVE CIR APT 131
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-6707
Practice Address - Country:US
Practice Address - Phone:239-513-1956
Practice Address - Fax:239-513-1956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-04
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME97796208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty