Provider Demographics
NPI:1639609027
Name:CHAMORRO, OLGA ESTHER
Entity Type:Individual
Prefix:MS
First Name:OLGA
Middle Name:ESTHER
Last Name:CHAMORRO
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 1:3443 13TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-4052
Mailing Address - Country:US
Mailing Address - Phone:407-891-4040
Mailing Address - Fax:407-892-0096
Practice Address - Street 1:3443 13TH ST
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-4052
Practice Address - Country:US
Practice Address - Phone:140-655-5171
Practice Address - Fax:407-892-0096
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-18
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL234895376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker