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Organization

FRUITVILLE HOLDINGS-OPPIDAN, INC.

Active
Other names
OPPIDAN, OPPIDAN, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY B SMITH (DIRECTOR OF OPERATIONS)
(941) 706-0339
Entity
Organization

Contact information

Practice address
4024 FRUITVILLE RD, SARASOTA, FL 34232-1617
(941) 371-9158
(941) 371-9168
Mailing address
4024 FRUITVILLE RD, SARASOTA, FL 34232-1617
(941) 706-0339
(941) 761-6493

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
320700000X
Physical Disabilities Residential Treatment Facility

Other

Enumeration date
11/09/2007
Last updated
11/27/2019
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