Basic Information
| Provider Information | |||||||||
| NPI: | 1821046673 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | OCCUPATION HEALTH & WELLNESS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3399 NW 72ND AVE | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331221349 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055999933 | ||||||||
| FaxNumber: | 3055942722 | ||||||||
| Practice Location | |||||||||
| Address1: | 3399 NW 72ND AVE | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331221349 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055999933 | ||||||||
| FaxNumber: | 3055942722 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | ORTIZ | ||||||||
| AuthorizedOfficialFirstName: | MARTHA | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR OF OPERATIONS | ||||||||
| AuthorizedOfficialTelephone: | 9548744616 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QX0100X | FL | Y | Ambulatory Health Care Facilities | Clinic/Center | Occupational Medicine |
No ID Information.