| Opulent Vip Llc | |
|
7065 Westpointe Blvd Ste 308 Orlando FL 32835-8758 | |
| (800) 630-1002 | |
| Not Available |
| Full Name | Opulent Vip Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7065 Westpointe Blvd Ste 308, Orlando, Florida |
| Authorized Official Name and Position | Max Magnasco (OWNER) |
| Authorized Official Contact | 4079028331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opulent Vip Llc 15155 W Colonial Dr Ste 784719 Winter Garden FL 34787-4272 Ph: (407) 902-8331 | Opulent Vip Llc 7065 Westpointe Blvd Ste 308 Orlando FL 32835-8758 Ph: (800) 630-1002 |
| NPI Number | 1033730510 |
|---|---|
| Provider Enumeration Date | 05/06/2020 |
| Last Update Date | 07/05/2022 |
| Certification Date | 07/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033730510 | NPI | - | NPPES |
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