Provider Demographics
NPI:1154550002
Name:UNIVERSAL CONQUEST INVESTMENT, INC.
Entity type:Organization
Organization Name:UNIVERSAL CONQUEST INVESTMENT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:D
Authorized Official - Last Name:MAHARAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-465-6627
Mailing Address - Street 1:2116 NW 76TH WAY
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-7927
Mailing Address - Country:US
Mailing Address - Phone:954-970-9490
Mailing Address - Fax:954-495-8888
Practice Address - Street 1:2116 NW 76TH WAY
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-7927
Practice Address - Country:US
Practice Address - Phone:954-970-9490
Practice Address - Fax:954-495-8888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization