Healthcare Provider Details

I. General information

NPI: 1811850761
Provider Name (Legal Business Name): FLORIDA OCD AND ANXIETY SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 MARSH LANDING BLVD STE 104
PONTE VEDRA FL
32082-1287
US

IV. Provider business mailing address

7643 GATE PKWY STE 104-1211
JACKSONVILLE FL
32256-3092
US

V. Phone/Fax

Practice location:
  • Phone: 904-410-7010
  • Fax: 754-732-8118
Mailing address:
  • Phone: 904-410-7010
  • Fax: 754-732-8118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: GINNA G. OSPINA
Title or Position: OWNER
Credential: LMHC
Phone: 904-410-7010