Individual
SARAI OTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SOUTH BLVD E, DAVENPORT, FL 33837-7547
(863) 419-7645
Mailing address
6433 W 9TH AVE, HIALEAH, FL 33012-6427
(786) 322-9850
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11034405
FL
Other
Enumeration date
07/29/2024
Last updated
08/05/2024
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