Healthcare Provider Details

I. General information

NPI: 1487100772
Provider Name (Legal Business Name): ALEJANDRO OSUNA APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 S FEDERAL HWY APT 432
BOCA RATON FL
33432-4951
US

IV. Provider business mailing address

131 S FEDERAL HWY APT 432
BOCA RATON FL
33432-4951
US

V. Phone/Fax

Practice location:
  • Phone: 786-681-2001
  • Fax:
Mailing address:
  • Phone: 786-681-2001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number16-489
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11034488
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: