Healthcare Provider Details
I. General information
NPI: 1093629404
Provider Name (Legal Business Name): EXOPS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1175 SPRING CENTRE SOUTH BLVD # 1030
ALTAMONTE SPRINGS FL
32714-5000
US
IV. Provider business mailing address
817 S UNIVERSITY DR STE 105
PLANTATION FL
33324-3345
US
V. Phone/Fax
- Phone: 407-633-3101
- Fax:
- Phone: 786-723-6727
- Fax: 786-723-6727
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
SERGIO
M
TRIANA
Title or Position: REGISTERED AGENT
Credential: DC
Phone: 786-723-6727