Individual
DR. CLARYLEE OCTAVIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
766 N SUN DR STE 3030, LAKE MARY, FL 32746-2555
(407) 444-2800
(407) 444-2810
Mailing address
2180 W SR 434 STE 1164, LONGWOOD, FL 32779-5008
(407) 515-2211
(407) 309-5412
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME128543
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME128543
FLORIDA LICENSE
FL
Enumeration date
07/18/2006
Last updated
08/19/2024
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