Provider Demographics
NPI:1417159989
Name:OSBORNE, DOY ANN (BASIC X-RAY TECH)
Entity Type:Individual
Prefix:MS
First Name:DOY
Middle Name:ANN
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:BASIC X-RAY TECH
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1502
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-1502
Mailing Address - Country:US
Mailing Address - Phone:813-878-9743
Mailing Address - Fax:813-874-2039
Practice Address - Street 1:2123 MLK JR. BLVD. SUITE #201
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607
Practice Address - Country:US
Practice Address - Phone:813-878-9743
Practice Address - Fax:813-874-2039
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLBMO 259632471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography