Organization
OPTIMA HOMECARE/ LAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUDREY MAE WALKER LPN (OWNER)
(813) 406-4933
Entity
Organization
Contact information
Practice address
5501 RIVA RIDGE DR, WESLEY CHAPEL, FL 33544-6509
(813) 406-4933
(813) 406-4933
Mailing address
5501 RIVA RIDGE DR, WESLEY CHAPEL, FL 33544-6509
(813) 406-4933
(813) 406-4933
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10D1102378
FL
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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