Organization
OSTEOPOROSIS CENTERS OF AMERICA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELBA IRIS OVALLE MD (DIRECTOR)
(407) 877-4075
Entity
Organization
Contact information
Practice address
1002 SOUTH DILLARD ST, SUITE 102, WINTER GARDEN, FL 34787
(407) 877-4075
(407) 877-8495
Mailing address
PO BOX 1466, WINDERMERE, FL 34786
(407) 877-4075
(407) 877-8495
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME64514
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64112
BCBS
FL
Enumeration date
08/24/2006
Last updated
08/22/2020
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