# OMSA SATELLITE SERVICES

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

## Provider details

- **NPI number:** 1770824971
- **Authorized official:** DR. RAMON A PEREZ-ROSICH DMD (PHYSICIAN)
- **Authorized official phone:** (954) 693-0026

## Contact information

- **Practice address:** 12001 SW 128TH CT STE 204, MIAMI, FL 33186-4666
- **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) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2013
- **Last updated:** 03/13/2013