Healthcare Provider Details

I. General information

NPI: 1245340017
Provider Name (Legal Business Name): OP THERAPY FL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8132 HUDSON AVE TANDEM HEALTH CARE OF BAYONET POINT INC
HUDSON FL
34667-8571
US

IV. Provider business mailing address

2111 GLENWOOD DR SUITE 202
WINTER PARK FL
32792-3328
US

V. Phone/Fax

Practice location:
  • Phone: 727-863-3100
  • Fax: 727-862-8913
Mailing address:
  • Phone: 407-644-9065
  • Fax: 407-628-2792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF10140961
License Number StateFL

VIII. Authorized Official

Name: JOSEPH D CONTE
Title or Position: PRESIDENT CEO
Credential:
Phone: 407-571-1550