Organization
OSLER MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA KAY MERCHBERGER (CHIEF ADMINISTRATIVE OFFICE)
(321) 725-5050
Entity
Organization
Contact information
Practice address
930 S HARBOR CITY BLVD, MELBOURNE, FL 32901
(321) 725-5050
(321) 725-9100
Mailing address
930 S HARBOR CITY BLVD, MELBOURNE, FL 32901
(321) 725-5050
(321) 725-9100
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0884270001
DMEPOS
FL
05
—
256740700
—
FL
01
—
CC0819
RR MEDICARE
FL
Enumeration date
04/28/2006
Last updated
02/06/2009
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