Individual
NORMA OTHMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22707 RODERICK DR, LAND O LAKES, FL 34639-4098
(813) 244-0107
(813) 388-2818
Mailing address
22707 RODERICK DR, LAND O LAKES, FL 34639-4098
(813) 244-0107
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6906552
FL
374U00000X
Home Health Aide
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
735424
—
FL
Enumeration date
02/04/2019
Last updated
04/02/2019
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