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General NPI Number Information
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NPI Number | 1326719519
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Entity Type | Organization
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Legal Business Name | OPTIMUM CARE SWFL, INC
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 2023 CANAL ST
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City | FORT MYERS
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State | FL
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Zip | 33901-6111
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Country | US
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Telephone | 239-202-2302
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Fax | 321-655-7349
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Provider Business Mailing Address
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Address Line | 2023 CANAL ST
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City | FORT MYERS
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State | FL
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Zip | 33901-6111
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Country | US
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Telephone | 239-202-2302
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Fax | 321-655-7349
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Authorized Official
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Title or Position | ADMINISTRATOR/DON
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Name | MELISSA MILIAN
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Credential |
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Telephone | 239-789-5897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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