1003223322 NPI number — OUELLETTE GROUP PHYSICIANS FOR THE HAND

Table of content: (NPI 1003223322)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003223322 NPI number — OUELLETTE GROUP PHYSICIANS FOR THE HAND

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OUELLETTE GROUP PHYSICIANS FOR THE HAND
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003223322
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/18/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3150 SW 38 AVE
Provider Second Line Business Mailing Address:
SUITE 600
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33146-1523
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-261-0222
Provider Business Mailing Address Fax Number:
786-594-4650

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4302 ALTON RD
Provider Second Line Business Practice Location Address:
SUITE 710
Provider Business Practice Location Address City Name:
MIAMI BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33140-2891
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-261-0222
Provider Business Practice Location Address Fax Number:
786-594-4650
Provider Enumeration Date:
07/18/2014

Additional Information

Authorized Official

Authorized Official Last Name:
OUELLETTE
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
ANNE
Authorized Official Title or Position:
DIRECTOR/OWNER
Authorized Official Telephone Number:
786-261-0222

Provider Taxonomy Codes

  • Taxonomy code: 207XS0106X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com