| Omt Healthcare Services Llc | |
|
777 N Orange Ave Apt 515 Orlando FL 32801-1184 | |
| (786) 553-0177 | |
| Not Available |
| Full Name | Omt Healthcare Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 777 N Orange Ave Apt 515, Orlando, Florida |
| Authorized Official Name and Position | Orestes Mederos Trujillo (OWNER) |
| Authorized Official Contact | 7865530177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omt Healthcare Services Llc 777 N Orange Ave Apt 515 Orlando FL 32801-1184 Ph: (786) 553-0177 | Omt Healthcare Services Llc 777 N Orange Ave Apt 515 Orlando FL 32801-1184 Ph: (786) 553-0177 |
| NPI Number | 1083300289 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Medicare PECOS PAC ID | 5991164493 |
|---|---|
| Medicare Enrollment ID | O20230630001547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083300289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Damny Del Rio Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477122083 PECOS PAC ID: 2062804479 Enrollment ID: I20220114002310 |
| Provider Name | Orestes Mederos Trujillo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316456528 PECOS PAC ID: 0749514800 Enrollment ID: I20220527001663 |
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