Ofd Service Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OFD SERVICE GROUP INC

Practice address

2500 NW 79TH Ave
Suite 214
Doral, FL 33122-1073

Phone

(786) 636-6991

Fax

(786) 636-8112

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Omar Diaz

Title

Owner

Phone

(786) 636-6991

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1336696129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE",
            "address_2": "SUITE 214",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221073",
            "telephone_number": "786-636-6991",
            "fax_number": "786-636-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE",
            "address_2": "SUITE 214",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221073",
            "telephone_number": "786-636-6991",
            "fax_number": "786-636-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFD SERVICE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-636-6991"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Doral, FL
• Providers in Doral, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.