MEDICARE: OPERATION PAR INC

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
1	251S00000X	Community/Behavioral Health Agency		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477611903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPERATION PAR INC

Provider Business Mailing Address
First Line	:	6253 14TH ST W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34207-4611
Country	:	US
Telephone Number	:	941-753-0877
Fax Number	:	941-753-0881

Provider Business Practice Location Address
First Line	:	6253 14TH ST W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34207-4611
Country	:	US
Telephone Number	:	941-753-0877
Fax Number	:	941-753-0881

Authorized Official
Title or Position	:	CEO
Name	:	NANCY HAMILTON
Credential	:
Telephone Number	:	727-545-7564

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	07/01/2008

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Directions to “OPERATION PAR INC ” Practice Location

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