Individual
THOMAS OSTRANDER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4940 LAKEWOOD DR, RIDGE MANOR, FL 33523-8841
(352) 457-5447
Mailing address
4940 LAKEWOOD DR, RIDGE MANOR, FL 33523-8841
(352) 457-5447
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5195206
FL
Other
Enumeration date
12/17/2011
Last updated
12/17/2011
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