Provider Demographics
NPI:1861406498
Name:A & O DIAGNOSTIC CENTER INC
Entity type:Organization
Organization Name:A & O DIAGNOSTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSVALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-256-3202
Mailing Address - Street 1:13205 SW 137TH AVE
Mailing Address - Street 2:SUITE 129
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5331
Mailing Address - Country:US
Mailing Address - Phone:305-256-3202
Mailing Address - Fax:305-256-3202
Practice Address - Street 1:13205 SW 137TH AVE
Practice Address - Street 2:SUITE 129
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5331
Practice Address - Country:US
Practice Address - Phone:305-256-3202
Practice Address - Fax:305-256-3202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE8177Medicare ID - Type UnspecifiedPROVIDER NUMBER