Op Brandon, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1577096 Issued in FL

Legal business name

OP BRANDON, INC.

Doing business as

Tandem Health Care of Brandon

Practice address

701 Victoria St
Brandon, FL 33510-4100

Phone

(813) 681-4220

Fax

(813) 689-5685

NPI assigned

Jun 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph Conte

Title

Chief Operating Officer

Phone

(407) 571-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tandem Health Care of Brandon Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609816057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CONCOURSE PKWY S",
            "address_2": "SUITE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516148",
            "telephone_number": "407-571-1550",
            "fax_number": "407-571-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 VICTORIA ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104100",
            "telephone_number": "813-681-4220",
            "fax_number": "813-689-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OP BRANDON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONTE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1577096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265705",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tandem Health Care of Brandon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zaria Oliver, NP
• Gabriela Karina Olivera Acevedo, MD
• Marisabel De la Caridad Olivera
• Karissa Olsen, DPT
• Alicia Medrano Ong, MD
• Optimal Performance and Physical Therapies-Brandon LLC
• Optimum Staffing Services LLC
• Optumcare Florida, LLC
• Optumcare Florida, LLC
• Sophia Anna Orfanakos, MD

• Skilled Nursing Facility in Brandon, FL
• Providers in Brandon, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.