# ORIGINAL HEALTHCARE CORP

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

## Provider details

- **NPI number:** 1306340294
- **Authorized official:** LAIDY GUTIERREZ (PRESIDENT)
- **Authorized official phone:** (786) 485-3881

## Contact information

- **Practice address:** 11981 SW 144TH CT STE 101, MIAMI, FL 33186-8652
- **Practice address phone:** (786) 485-3881
- **Practice address fax:** (305) 675-0219
- **Mailing address:** 11981 SW 144TH CT STE 101, MIAMI, FL 33186-8652
- **Mailing address phone:** (786) 485-3881
- **Mailing address fax:** (305) 675-0219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | HCC11288 | FL | Yes |

## Other

- **Enumeration date:** 03/23/2018
- **Last updated:** 03/23/2018