Provider Demographics
NPI:1669619755
Name:DOS GROUP INC
Entity type:Organization
Organization Name:DOS GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA DEL PILAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SAA
Authorized Official - Suffix:
Authorized Official - Credentials:OTD, OTR/L
Authorized Official - Phone:954-296-3861
Mailing Address - Street 1:14552 LARKSPUR LN
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8207
Mailing Address - Country:US
Mailing Address - Phone:954-296-3861
Mailing Address - Fax:561-792-0774
Practice Address - Street 1:3066 JOG RD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33467-2053
Practice Address - Country:US
Practice Address - Phone:954-296-3861
Practice Address - Fax:561-792-0774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-13
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10046225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL886753400Medicaid
Z171FOtherBCBS OF FLORIDA (JULIE BROWN)
FLZ9612OtherBCBS OF FLORIDA