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General NPI Number Information
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NPI Number | 1124859251
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Entity Type | Organization
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Legal Business Name | OMNI CARE SOLUTIONS OF FLORIDA II, LLC
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Dates
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Enumeration Date | 08/10/2024
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Last Update Date | 08/10/2024
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Provider Practice Location Address
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Address Line | 1317 EDGEWATER DR # 1003
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City | ORLANDO
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State | FL
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Zip | 32804-6350
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Country | US
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Telephone | 407-914-8373
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1313
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City | MINNEOLA
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State | FL
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Zip | 34755-1313
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Country | US
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Telephone | 407-914-8373
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAMELA SEGURA
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Credential |
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Telephone | 407-914-8373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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