Provider Demographics
NPI:1023326535
Name:OSBORNE LEGAL
Entity type:Organization
Organization Name:OSBORNE LEGAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-274-5448
Mailing Address - Street 1:3500 N STATE ROAD 7 STE 200
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33319-5601
Mailing Address - Country:US
Mailing Address - Phone:954-274-5448
Mailing Address - Fax:954-484-1216
Practice Address - Street 1:3500 N STATE ROAD 7 STE 200
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33319-5601
Practice Address - Country:US
Practice Address - Phone:954-274-5448
Practice Address - Fax:954-484-1216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health