Individual
LAURA LEE OSORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 NW 127TH AVE, MIAMI, FL 33182-1895
(305) 297-9887
Mailing address
648 NW 122ND PSGE, MIAMI, FL 33182-2021
(305) 297-9887
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
016266900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016266900
—
FL
Enumeration date
02/03/2022
Last updated
02/03/2022
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