# OSA-VA-NETWORK - FL MS AL LA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578321642
- **Authorized official:** JULIET NEWTON DDS (MEDICAL DIRECTOR)
- **Authorized official phone:** (813) 607-5337

## Contact information

- **Practice address:** 10131 WILSKY BLVD, TAMPA, FL 33625-5837
- **Practice address phone:** (855) 947-3245
- **Mailing address:** 2437 ROCKVILLE CENTRE PKWY, OCEANSIDE, NY 11572-1622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2024
- **Last updated:** 03/12/2024