Healthcare Provider Details

I. General information

NPI: 1396944450
Provider Name (Legal Business Name): OLIVE SARAH USHER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2007
Last Update Date: 07/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 EAST SILVER SPRING BLVD. RITZ HISTORIC INN - SUITE 101
OCALA FL
34470-6823
US

IV. Provider business mailing address

1880 NW 46TH LN
OCALA FL
34475-7259
US

V. Phone/Fax

Practice location:
  • Phone: 352-671-9300
  • Fax: 352-671-9302
Mailing address:
  • Phone: 352-867-7865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberMA36244
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: