Organization
ONYX SLEEP DISORDER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMADOR REYES JR. (ADMINISTRATOR)
(786) 253-7699
Entity
Organization
Contact information
Practice address
1821 SW 27TH AVE, MIAMI, FL 33145-2419
(786) 953-8338
Mailing address
1821 SW 27TH AVE, MIAMI, FL 33145-2419
(786) 953-8338
(786) 364-1602
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HCC11305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034199
HUMANA CARE PLUS
FL
Enumeration date
03/19/2018
Last updated
03/19/2018
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