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Organization
OPTIMUM HOME CARE OF FLORIDA LLC
Active
Organization
OPTIMUM HOME CARE OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK SHORTER JR. (MANAGING PARTNER)
(414) 704-9031
Entity
Organization
Contact information
Practice address
420 79TH TER N APT 211, ST PETERSBURG, FL 33702-4371
(414) 704-9031
Mailing address
420 79TH TER N APT 210, ST PETERSBURG, FL 33702-4371
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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