Provider Demographics
NPI:1578008702
Name:OSIAS, ERNST NICANOR
Entity Type:Individual
Prefix:
First Name:ERNST
Middle Name:NICANOR
Last Name:OSIAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ERNST
Other - Middle Name:NICANOR
Other - Last Name:OSIAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:10120 SW 45TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-4170
Mailing Address - Country:US
Mailing Address - Phone:352-342-9790
Mailing Address - Fax:
Practice Address - Street 1:10120 SW 45TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-4170
Practice Address - Country:US
Practice Address - Phone:352-342-9790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-26
Last Update Date:2016-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9299744363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily