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Contact Information

OAKRIDGE MEDICAL GROUP
1000 NE 56TH ST
ATTN BUSINESS OFFICE
FORT LAUDERDALE, FL33334-4149
 Phone: 954-958-0606
 Fax: 954-776-0821
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for OAKRIDGE MEDICAL GROUP · (Female)

NPI Number 1912051228
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # JR3583900
  • FL Other 7726045 AETNA PROVIDER ID
  • FL Other 214355 AMERIGROUP PROVIDER ID
  • FL Other 280077 AVMED PROVIDER ID
  • FL Other V2224 BC BS PROVIDER ID
  • FL Other 221601 FDA#
  • FL Other 498 TOTAL HLTH CHOICE ID
  • FL Other 00002536540 02 UNITED HLTHCR ID
  • FL Other SG067359 VISTA HLTHCR ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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