# OMSA SATELLITE, CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003141730
- **Authorized official:** DR. RAMON A PEREZ-ROSICH DMD (PRESIDENT)
- **Authorized official phone:** (954) 693-0026

## Contact information

- **Practice address:** 10173 W SUNRISE BLVD, PLANTATION, FL 33322-7617
- **Practice address phone:** (954) 693-0026
- **Practice address fax:** (954) 693-0085
- **Mailing address:** 10173 W SUNRISE BLVD, PLANTATION, FL 33322-7617
- **Mailing address phone:** (954) 693-0026
- **Mailing address fax:** (954) 693-0085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 16203 | FL | Yes |

## Other

- **Enumeration date:** 10/14/2009
- **Last updated:** 10/14/2009