Provider Demographics
NPI:1194770313
Name:OMNI HEALTH CENTER INC.
Entity type:Organization
Organization Name:OMNI HEALTH CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:URRELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-826-0303
Mailing Address - Street 1:2189 WEST 60TH ST
Mailing Address - Street 2:SUITE201
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016
Mailing Address - Country:US
Mailing Address - Phone:305-826-0303
Mailing Address - Fax:
Practice Address - Street 1:2189 WEST 60TH ST
Practice Address - Street 2:SUITE201
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016
Practice Address - Country:US
Practice Address - Phone:305-826-0303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2020-08-22
Deactivation Date:2006-05-30
Deactivation Code:
Reactivation Date:2006-05-31
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty