Healthcare Provider Details

I. General information

NPI: 1033912464
Provider Name (Legal Business Name): JULIANA AMPADU OTIWAAH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date: 11/14/2025
Reactivation Date: 03/26/2026

III. Provider practice location address

5301 S CONGRESS AVE HCA FLORIDA JFK HOSPITAL
ATLANTIS FL
33462
US

IV. Provider business mailing address

5301 S CONGRESS AVE HCA FLORIDA JFK HOSPITAL
ATLANTIS FL
33462
US

V. Phone/Fax

Practice location:
  • Phone: 561-236-9361
  • Fax:
Mailing address:
  • Phone: 561-236-9361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: