Individual
MYRIAM J OSPINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3151 SHADY LILY LN, LAND O LAKES, FL 34638-8032
(813) 300-0199
Mailing address
3151 SHADY LILY LN, LAND O LAKES, FL 34638-8032
(813) 300-0199
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
O215-540-72-915-0
FL
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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