- Enrollment id
- O20210121002585
- Enrollment state
- FL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1033753793
- Multiple npi flag
- N
- Ccn
- 101536
- Associate id
- 4981018587
- Organization name
- OPUSCARE OF FLORIDA LLC
- Doing business as name
- OPUSCARE OF SOUTH FLORIDA
- Incorporation date
- 2016-05-11
- Incorporation state
- FL
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 6900 SW 80TH ST
- City
- MIAMI
- State
- FL
- Zip code
- 331434931