Organization
OXY HEAL GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAUDILIO JESUS CUSCO-PRIETO M.D (MEDICAL DIRECTOR)
(786) 502-2178
Entity
Organization
Contact information
Practice address
6187 NW 167TH ST, H-13, HIALEAH, FL 33015-4340
(786) 502-2178
Mailing address
6187 NW 167TH ST, H-13, HIALEAH, FL 33015-4340
(786) 502-2178
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME22691
FL
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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