Individual
LAURA OSTERWEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4516 N ARMENIA AVE, TAMPA, FL 33603-2732
(813) 348-6900
(813) 348-6999
Mailing address
PO BOX 403444, ATLANTA, GA 30384-3444
(813) 348-6900
(813) 348-6999
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2918935
—
FL
Enumeration date
09/01/2006
Last updated
04/01/2010
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