Individual
DUPE OPIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 APOPKA LN, KISSIMMEE, FL 34759-5018
(561) 512-7981
(863) 427-6314
Mailing address
1233 APOPKA LN, KISSIMMEE, FL 34759-5018
(561) 315-4133
(863) 427-3145
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
650036411
FL
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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