Provider Demographics
NPI:1689951329
Name:AZMITIA, OSCAR A (NP)
Entity Type:Individual
Prefix:MR
First Name:OSCAR
Middle Name:A
Last Name:AZMITIA
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4179 LAKEWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-6117
Mailing Address - Country:US
Mailing Address - Phone:347-866-0961
Mailing Address - Fax:
Practice Address - Street 1:4179 LAKEWOOD BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-6117
Practice Address - Country:US
Practice Address - Phone:347-866-0961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY401447163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health