MEDICARE: MRS. SVETLANA OSADCHY

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	171100000X	Acupuncturist	AP 3281	FL

General Provider Information

NPI Number	:	1962812180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SVETLANA OSADCHY

Provider Business Mailing Address
First Line	:	2510 FONSECA CT APT 210
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-6493
Country	:	US
Telephone Number	:	813-842-1842
Fax Number	:

Provider Business Practice Location Address
First Line	:	2626 CYPRESS RIDGE BLVD
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-6315
Country	:	US
Telephone Number	:	813-842-1842
Fax Number	:

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

Provider Enumeration Date	:	04/28/2014
Last Update Date	:	09/09/2016

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