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NPI Code Detail

MEDICARE: OTNIER ENRIQUE BERRIOS

MEDICARE: OTNIER ENRIQUE BERRIOS
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
12355A2700XAudiology Assistant

General Provider Information

NPI Number : 1740860543
Entity Type Code : Individual
Provider Name (Legal Business Name) : OTNIER ENRIQUE BERRIOS
Provider Business Mailing Address
First Line : 1002B S CHURCH AVE # 10215
Second Line :
City : TAMPA
State : FL
Zip : 33629-5018
Country : US
Telephone Number : 813-200-7111
Fax Number : 813-343-2942
Provider Business Practice Location Address
First Line : 400 N ASHLEY DR STE 1900
Second Line :
City : TAMPA
State : FL
Zip : 33602-4311
Country : US
Telephone Number : 813-775-2200
Fax Number : 813-343-2942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2021
Last Update Date : 04/14/2021

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Directions to “ OTNIER ENRIQUE BERRIOS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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