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NPI Code Detail

MEDICARE: OANA BHOSLE

MEDICARE: OANA BHOSLE
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
1222Q00000XDevelopmental Therapist
2103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548654619
Entity Type Code : Individual
Provider Name (Legal Business Name) : OANA BHOSLE
Provider Business Mailing Address
First Line : 6820 SOUTHPOINT PKWY STE 9
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-6277
Country : US
Telephone Number : 904-299-0049
Fax Number :
Provider Business Practice Location Address
First Line : 6820 SOUTHPOINT PKWY STE 9
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-6277
Country : US
Telephone Number : 904-299-0049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2015
Last Update Date : 05/27/2022

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Directions to “ OANA BHOSLE ” Practice Location

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