Healthcare Provider Details

I. General information

NPI: 1588060313
Provider Name (Legal Business Name): TARA B. OSTROWSKY ARNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TARA E. BILSLAND ARNP-C

II. Dates (important events)

Enumeration Date: 11/05/2014
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 1ST ST N
ST PETERSBURG FL
33701-3305
US

IV. Provider business mailing address

116 1ST ST N
ST PETERSBURG FL
33701-3305
US

V. Phone/Fax

Practice location:
  • Phone: 727-895-5210
  • Fax: 727-821-4297
Mailing address:
  • Phone: 727-895-5210
  • Fax: 727-821-4297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 9316767
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: