Healthcare Provider Details

I. General information

NPI: 1023643707
Provider Name (Legal Business Name): OPS INTERNATIONAL INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2020
Last Update Date: 03/03/2020
Certification Date: 03/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 L B MCLEOD RD
ORLANDO FL
32811-6454
US

IV. Provider business mailing address

6700 CONROY RD STE 155
ORLANDO FL
32835-3515
US

V. Phone/Fax

Practice location:
  • Phone: 781-686-0640
  • Fax:
Mailing address:
  • Phone: 407-673-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MARCO LOLEIT
Title or Position: CEO
Credential:
Phone: 781-686-0640