MEDICARE: MRS. MAJA ANN FLORENTINE OTR/L

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
1	225X00000X	Occupational Therapist	001638	CT
2	225X00000X	Occupational Therapist	OT-17170	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1881654432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MAJA ANN FLORENTINE OTR/L

Provider Business Mailing Address
First Line	:	2506 LAKE DEBRA DR
Second Line	:	APARTMENT 8208
City	:	ORLANDO
State	:	FL
Zip	:	32835-8725
Country	:	US
Telephone Number	:	860-836-6036
Fax Number	:

Provider Business Practice Location Address
First Line	:	409 E OAKLAND AVE
Second Line	:	SUITE B
City	:	OAKLAND
State	:	FL
Zip	:	34787-3070
Country	:	US
Telephone Number	:	407-654-5455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	01/04/2017

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