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NPI Code Detail

MEDICARE: TARPON OPCO LLC

MEDICARE: TARPON OPCO LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1376342246
Entity Type Code : Organization
Provider Name (Legal Business Name) : TARPON OPCO LLC
Provider Business Mailing Address
First Line : 5157 PARK CLUB DR
Second Line :
City : SARASOTA
State : FL
Zip : 34235-1801
Country : US
Telephone Number : 941-377-0022
Fax Number :
Provider Business Practice Location Address
First Line : 5157 PARK CLUB DR
Second Line :
City : SARASOTA
State : FL
Zip : 34235-1801
Country : US
Telephone Number : 941-377-0022
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : MR. JOSEF CUKIER
Credential :
Telephone Number : 732-200-1155
Provider Enumeration Date : 03/12/2025
Last Update Date : 04/21/2025

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Directions to “TARPON OPCO LLC ” Practice Location

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