Individual
MARIA ROSA OTERO SURIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PSY.D
Contact information
Practice address
160 AVENUE E NW, WINTER HAVEN, FL 33881-4127
(863) 888-0808
Mailing address
PO BOX 7073, WINTER HAVEN, FL 33883-7073
(863) 888-0808
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9959
FL
Other
Enumeration date
07/23/2007
Last updated
11/08/2023
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