Provider Demographics
NPI:1235854605
Name:URF, OLIVIA TAYLOR
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:TAYLOR
Last Name:URF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11134 UPTON ST
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-2952
Mailing Address - Country:US
Mailing Address - Phone:813-404-6383
Mailing Address - Fax:
Practice Address - Street 1:11134 UPTON ST
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-2952
Practice Address - Country:US
Practice Address - Phone:813-404-6383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician