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NPI Code Detail

MEDICARE: OP THERAPY FL INC

MEDICARE: OP THERAPY FL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilitySNF10140961FL

General Provider Information

NPI Number : 1245340017
Entity Type Code : Organization
Provider Name (Legal Business Name) : OP THERAPY FL INC
Provider Business Mailing Address
First Line : 2111 GLENWOOD DR
Second Line : SUITE 202
City : WINTER PARK
State : FL
Zip : 32792-3328
Country : US
Telephone Number : 407-644-9065
Fax Number : 407-628-2792
Provider Business Practice Location Address
First Line : 8132 HUDSON AVE
Second Line : TANDEM HEALTH CARE OF BAYONET POINT INC
City : HUDSON
State : FL
Zip : 34667-8571
Country : US
Telephone Number : 727-863-3100
Fax Number : 727-862-8913
Authorized Official
Title or Position : PRESIDENT CEO
Name : JOSEPH D CONTE
Credential :
Telephone Number : 407-571-1550
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/22/2020

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