Healthcare Provider Details

I. General information

NPI: 1811960800
Provider Name (Legal Business Name): JOSELYN G. CAFUN OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOSELYN G. SMITH OT

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11286 BOYETTE RD STE 101
RIVERVIEW FL
33569-8022
US

IV. Provider business mailing address

5901 E FOWLER AVE STE 100
TEMPLE TERRACE FL
33617-2305
US

V. Phone/Fax

Practice location:
  • Phone: 813-978-9700
  • Fax: 813-558-6185
Mailing address:
  • Phone: 813-978-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056003756
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT22473
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: