# OMSA DB PA

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

## Provider details

- **NPI number:** 1992543292
- **Authorized official:** RAMON A PEREZ-ROSICH (PRESIDENT)
- **Authorized official phone:** (954) 693-0026

## Contact information

- **Practice address:** 505 SE 6TH AVE, DELRAY BEACH, FL 33483-5263
- **Practice address phone:** (561) 278-0004
- **Practice address fax:** (561) 278-0005
- **Mailing address:** 505 SE 6TH AVE STE C, DELRAY BEACH, FL 33483-5263
- **Mailing address phone:** (561) 278-0004
- **Mailing address fax:** (561) 278-0005

## 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:** 07/19/2024
- **Last updated:** 07/29/2024