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Organization

ON TIME MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HUGO RENE OLIVARES (CEO)
(786) 556-4466
Entity
Organization

Contact information

Practice address
15160 SW 136TH ST UNIT 10, MIAMI, FL 33196-2664
(304) 373-3145
Mailing address
2549 CEDAR LAKES DR, RIPLEY, WV 25271-6551
(304) 373-3145

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
03/10/2017
Last updated
04/11/2022
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