Healthcare Provider Details

I. General information

NPI: 1598688475
Provider Name (Legal Business Name): CHRISTINA MAURO COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33920 US HIGHWAY 19 N
PALM HARBOR FL
34684-2654
US

IV. Provider business mailing address

3707 VILLAMORE LN
ODESSA FL
33556-4196
US

V. Phone/Fax

Practice location:
  • Phone: 727-712-0808
  • Fax:
Mailing address:
  • Phone: 646-872-9726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA20152
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: