1851670889 NPI number — ROLLING OAKS CYTOPATHOLOGY CONSULTANTS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851670889 NPI number — ROLLING OAKS CYTOPATHOLOGY CONSULTANTS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROLLING OAKS CYTOPATHOLOGY CONSULTANTS
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:
1851670889
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/11/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18200 SW 52ND CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTHWEST RANCHES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33331-2239
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-892-4602
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1490 W 49TH PL STE 540
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HIALEAH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33012-8134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-892-4602
Provider Business Practice Location Address Fax Number:
888-473-3515
Provider Enumeration Date:
08/08/2011

Additional Information

Authorized Official

Authorized Official Last Name:
LOVERA
Authorized Official First Name:
CARLOS
Authorized Official Middle Name:
A
Authorized Official Title or Position:
VICE-PRESIDENT
Authorized Official Telephone Number:
954-892-4605

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  800026079 , registered in the state of FL ; 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