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Organization

OPULENT MEDICAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA SELF DNP (CEO)
(863) 944-6977
Entity
Organization

Contact information

Practice address
211 E MAIN ST # 435, LAKELAND, FL 33801-4628
(863) 944-6977
Mailing address
211 E MAIN ST # 435, LAKELAND, FL 33801-4628
(863) 944-6977

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
03/27/2025
Last updated
03/27/2025
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