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NPI Code Detail

MEDICARE: OLIPHANT ENTERPRISES

MEDICARE: OLIPHANT ENTERPRISES
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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1299996407OTHERFLAHCA

General Provider Information

NPI Number : 1538959929
Entity Type Code : Organization
Provider Name (Legal Business Name) : OLIPHANT ENTERPRISES
Provider Business Mailing Address
First Line : 200 PASADENA PL
Second Line :
City : ORLANDO
State : FL
Zip : 32803-3828
Country : US
Telephone Number : 407-706-3003
Fax Number : 407-278-0746
Provider Business Practice Location Address
First Line : 200 PASADENA PL
Second Line :
City : ORLANDO
State : FL
Zip : 32803-3828
Country : US
Telephone Number : 407-706-3003
Fax Number : 407-278-0746
Authorized Official
Title or Position : OWNER/CEO
Name : MRS. LYNETTE OLIPHANT
Credential : RN
Telephone Number : 407-706-3003
Provider Enumeration Date : 05/08/2025
Last Update Date : 07/23/2025

Similar Medicare Providers

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Directions to “OLIPHANT ENTERPRISES ” Practice Location

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