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General NPI Number Information
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NPI Number | 1811850761
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Entity Type | Organization
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Legal Business Name | FLORIDA OCD AND ANXIETY SPECIALISTS, LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 4400 MARSH LANDING BLVD STE 104
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City | PONTE VEDRA
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State | FL
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Zip | 32082-1287
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Country | US
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Telephone | 904-410-7010
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Fax | 754-732-8118
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Provider Business Mailing Address
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Address Line | 7643 GATE PKWY STE 104-1211
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City | JACKSONVILLE
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State | FL
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Zip | 32256-3092
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Country | US
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Telephone | 904-410-7010
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Fax | 754-732-8118
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Authorized Official
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Title or Position | OWNER
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Name | GINNA G. OSPINA
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Credential | LMHC
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Telephone | 904-410-7010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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