Provider Demographics
NPI:1952104317
Name:O M CENTER SERVICES CORP
Entity type:Organization
Organization Name:O M CENTER SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:DORADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-457-3452
Mailing Address - Street 1:8132 OKEECHOBEE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2000
Mailing Address - Country:US
Mailing Address - Phone:786-457-3452
Mailing Address - Fax:
Practice Address - Street 1:8132 OKEECHOBEE BLVD STE A
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2000
Practice Address - Country:US
Practice Address - Phone:786-457-3452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center