Individual
MS. LARAINE CATHERINE ASTARITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
700 N PALMETTO ST, LEESBURG, FL 34748-4419
(352) 323-5609
Mailing address
423 HIGHWAY 466, APT 2105, LADY LAKE, FL 32159-3798
(407) 687-4174
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTA9889
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA 9889
STATE LICENSE
FL
Enumeration date
06/27/2008
Last updated
06/27/2008
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