Provider Demographics
NPI:1750436424
Name:ONE STOP MEDICAL CENTER INC
Entity type:Organization
Organization Name:ONE STOP MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MADELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-535-2231
Mailing Address - Street 1:2880 W OAKLAND PARK BLVD
Mailing Address - Street 2:STE 207
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33311-1354
Mailing Address - Country:US
Mailing Address - Phone:954-535-2231
Mailing Address - Fax:
Practice Address - Street 1:2880 W OAKLAND PARK BLVD
Practice Address - Street 2:STE 207
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33311-1354
Practice Address - Country:US
Practice Address - Phone:954-535-2231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC 7444261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty