Provider Demographics
NPI:1306277140
Name:MADISON OSTEOPATHIC MEDICINE
Entity type:Organization
Organization Name:MADISON OSTEOPATHIC MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FABREGAS-SCHINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:850-253-8000
Mailing Address - Street 1:235 SW DADE ST
Mailing Address - Street 2:SUITE
Mailing Address - City:MADISON
Mailing Address - State:FL
Mailing Address - Zip Code:32340-2363
Mailing Address - Country:US
Mailing Address - Phone:850-253-8000
Mailing Address - Fax:
Practice Address - Street 1:235 SW DADE ST
Practice Address - Street 2:SUITE
Practice Address - City:MADISON
Practice Address - State:FL
Practice Address - Zip Code:32340-2363
Practice Address - Country:US
Practice Address - Phone:850-253-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center