NPI
11565 Harts Road Opco LLC
NPI 1194526731
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2025-03-20
- Last updated
- 2025-03-20
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 11565 Harts Rd
- City
- Jacksonville FL
- Postal code
- 32218-3777
- Phone
- (732) 719-5034
Organization contact
- Name
- Amitai Dagan
- Title
- COO
- Phone
- (732) 719-5098
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Jacksonville, FL. 31,483 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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