Omi of Orange Park Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

OMI OF ORANGE PARK INC

Practice address

2021 Kingsley Ave
Suite 108
Orange Park, FL 32073

Phone

(904) 272-9300

Fax

(904) 272-9700

NPI assigned

Apr 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alan Babitz

Title

Cfo

Phone

(954) 888-6411

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1144282237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N COMMERCE PKWY",
            "address_2": "SUITE 100",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33326",
            "telephone_number": "954-888-6411",
            "fax_number": "954-888-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 KINGSLEY AVE",
            "address_2": "SUITE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32073",
            "telephone_number": "904-272-9300",
            "fax_number": "904-272-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMI OF ORANGE PARK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "BABITZ",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-888-6411"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Oddo Gullett, LCSW
• Kayla Odom
• Marc Oehler, PHARMD
• Tanisha Okonji, M.ED, RBT
• Maria M Olmeda, M.D.
• Tammy Lynn Ondrejka
• One Med Inc.
• Francis Ducosin Ong, M.D.
• Lucia A Onofrio, PA
• Ophthalmology Consulting Services

• Radiology Clinic/Center in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.