Oakridge Medical Group

LBN: Oakridge Medical Group
Oakridge Medical Group is an health care organization with primary practice located at 1000 Ne 56Th St Attn Business Office, Fort Lauderdale FL 33334-4149. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as the primary health care specialty. Oakridge Medical Group can be contacted via phone (954) 958-0606, or through Phanord, Fritz via phone (954) 958-0606.

Contact Information

Primary practice address
1000 Ne 56Th St Attn Business Office Fort Lauderdale FL 33334-4149
Phone: (954) 958-0606
Fax: (954) 776-0821
Website:
Map and Directions
Authorized official contact:
Name: Phanord, Fritz
Phone: (954) 958-0606

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X JR3583900 Florida

Profile Details

NPI number 1912051228
LBN Legal business name Oakridge Medical Group
DBA Doing business as
Authorized official Phanord, Fritz
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912051228 NPPES
Florida Other 7726045 AETNA PROVIDER ID
Florida Other SG067359 AETNA PROVIDER ID
Florida Other 498 AETNA PROVIDER ID
Florida Other V2224 AETNA PROVIDER ID
Florida Other 221601 AETNA PROVIDER ID
Florida Other 280077 AETNA PROVIDER ID
Florida Other 00002536540 02 AETNA PROVIDER ID
Florida Other 214355 AETNA PROVIDER ID

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