Provider Demographics
NPI:1508324757
Name:OPEL, ERATINA E
Entity type:Individual
Prefix:
First Name:ERATINA
Middle Name:E
Last Name:OPEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERATINA
Other - Middle Name:E
Other - Last Name:KNIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2821 S FERDON BLVD # 1075
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:32536-8474
Mailing Address - Country:US
Mailing Address - Phone:334-939-2170
Mailing Address - Fax:
Practice Address - Street 1:3771 STEFANI RD
Practice Address - Street 2:
Practice Address - City:CANTONMENT
Practice Address - State:FL
Practice Address - Zip Code:32533-7795
Practice Address - Country:US
Practice Address - Phone:850-607-6910
Practice Address - Fax:850-607-6932
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-06
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No385H00000XRespite Care FacilityRespite Care