Individual
SAMIA VALERIA OZORIO DUTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RN
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(813) 974-0902
Mailing address
6042 GIBSON AVE, TAMPA, FL 33617
(813) 336-9930
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9498603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9498603
FLORIDA HEALTH DEPARTMENT
FL
Enumeration date
03/26/2020
Last updated
11/27/2023
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