Provider Demographics
NPI:1154420867
Name:OXY-STAT INC
Entity type:Organization
Organization Name:OXY-STAT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHRAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-949-7828
Mailing Address - Street 1:2056 NE153RD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-6020
Mailing Address - Country:US
Mailing Address - Phone:305-949-7828
Mailing Address - Fax:305-949-7370
Practice Address - Street 1:2056 NE 153RD ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-6020
Practice Address - Country:US
Practice Address - Phone:305-949-7828
Practice Address - Fax:305-949-7370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL23-09-280891-61332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL027424100Medicaid