Omnicare Medical Center Inc

LBN: Omnicare Medical Center Inc
Omnicare Medical Center Inc is an health care organization with primary practice located at 1805 W Colonial Dr Suite A, Orlando FL 32804-7013. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Omnicare Medical Center Inc can be contacted via phone (407) 578-9142, or through Fraser, Owen D via phone (407) 578-9142.

Contact Information

Primary practice address
1805 W Colonial Dr Suite A Orlando FL 32804-7013
Phone: (407) 578-9142
Fax: (407) 578-8616
Website:
Map and Directions
Authorized official contact:
Name: Fraser, Owen D Doctor of Medicine (MD)
Phone: (407) 578-9142

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X ME30256 Florida

Profile Details

NPI number 1073874145
LBN Legal business name Omnicare Medical Center Inc
DBA Doing business as
Authorized official Fraser, Owen D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2012
Last updated Oct 24th, 2012 - about 12 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 1073874145 NPPES
Florida MEDICAID 58757500

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