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Organization
THE OPEN DOOR, INC.
Active
Organization
THE OPEN DOOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LULA FRAZIER (OWNER)
(352) 460-3529
Entity
Organization
Contact information
Practice address
1310-3 WEST NORTH BOULEVARD, LEESBURG, FL 34748-3997
(352) 460-3529
(352) 508-9798
Mailing address
1209 KELLOGG DR, TAVARES, FL 32778-4944
(352) 460-3529
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
04/26/2018
Last updated
02/27/2019
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