Provider Demographics
NPI:1184739336
Name:OZUAL, ANDRES (MD)
Entity type:Individual
Prefix:
First Name:ANDRES
Middle Name:
Last Name:OZUAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8752 NW 109TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4549
Mailing Address - Country:US
Mailing Address - Phone:305-804-8229
Mailing Address - Fax:844-546-1497
Practice Address - Street 1:4801 HOLLYWOOD BLVD STE B
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6545
Practice Address - Country:US
Practice Address - Phone:954-927-5905
Practice Address - Fax:844-546-1497
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2024-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR016372208D00000X
FLACN286208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice