MEDICARE: MS. EMILY ANN OSTROWSKI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35084597	OH
2	207Q00000X	Family Medicine Physician	ME130676	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043212483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EMILY ANN OSTROWSKI M.D.

Provider Business Mailing Address
First Line	:	5617 SKYTOP DR
Second Line	:
City	:	LITHIA
State	:	FL
Zip	:	33547-4165
Country	:	US
Telephone Number	:	813-530-4585
Fax Number	:	813-605-6053

Provider Business Practice Location Address
First Line	:	5617 SKYTOP DR
Second Line	:
City	:	LITHIA
State	:	FL
Zip	:	33547-4165
Country	:	US
Telephone Number	:	813-530-4585
Fax Number	:	813-605-6053

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	07/11/2022

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