Healthcare Provider Details

I. General information

NPI: 1568261717
Provider Name (Legal Business Name): OCOEE OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1556 MAGUIRE RD
OCOEE FL
34761-2982
US

IV. Provider business mailing address

1556 MAGUIRE RD
OCOEE FL
34761-2982
US

V. Phone/Fax

Practice location:
  • Phone: 407-877-2272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEF CUKIER
Title or Position: MANAGING MEMBER
Credential:
Phone: 732-200-1155