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NPI Code Detail

MEDICARE: MANUEL OZOA

MEDICARE: MANUEL OZOA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerAL 3599FL

General Provider Information

NPI Number : 1386036630
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANUEL OZOA
Provider Business Mailing Address
First Line : 4050 WOODSPRING LN
Second Line : APT 213
City : TAMPA
State : FL
Zip : 33613-5738
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 BUCCANEER PL
Second Line :
City : TAMPA
State : FL
Zip : 33607-5701
Country : US
Telephone Number : 813-870-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2015
Last Update Date : 02/24/2015

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Directions to “ MANUEL OZOA ” Practice Location

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