Individual
OTASH BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13156 ROYAL PINES AVE, RIVERVIEW, FL 33579-9321
(813) 516-7886
Mailing address
13156 ROYAL PINES AVE, RIVERVIEW, FL 33579-9321
(813) 516-7886
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B630643750190
FL
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
About Stedi
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