Provider Demographics
NPI:1740095223
Name:OIBO MEDICAL OUTREACH LLC
Entity type:Organization
Organization Name:OIBO MEDICAL OUTREACH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:OIBO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-622-4888
Mailing Address - Street 1:PO BOX 36
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-0036
Mailing Address - Country:US
Mailing Address - Phone:352-622-4888
Mailing Address - Fax:352-694-4884
Practice Address - Street 1:1730 SW 1ST AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-8170
Practice Address - Country:US
Practice Address - Phone:352-622-4888
Practice Address - Fax:352-694-4884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty