Octaviani, Clarylee
Octaviani, Clarylee is an individual health care provider with primary practice located at 766 N Sun Dr Ste 3030 , Lake Mary FL 32746-2555. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Octaviani, Clarylee can be contacted via phone (407) 444-2800.Contact Information
Primary practice address
766 N Sun Dr Ste 3030
Lake Mary FL 32746-2555
Phone: (407) 444-2800
Fax: (407) 444-2810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME128543 | Florida |
Profile Details
| NPI number | 1144249624 |
|---|---|
| LBN Legal business name | Octaviani, Clarylee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Aug 19th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144249624 | NPPES |
| Florida | Other | ME128543 | FLORIDA LICENSE |
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