Healthcare Provider Details

I. General information

NPI: 1750204061
Provider Name (Legal Business Name): FLORENCE OSANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3716 BRICE RUN RD APT I
RANDALLSTOWN MD
21133-3811
US

IV. Provider business mailing address

3716 BRICE RUN RD APT I
RANDALLSTOWN MD
21133-3811
US

V. Phone/Fax

Practice location:
  • Phone: 240-478-0815
  • Fax:
Mailing address:
  • Phone: 240-478-0815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2021162052
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: