Provider Demographics
NPI:1922395045
Name:OUZTS, PAMELA SUE (LMT)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:SUE
Last Name:OUZTS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 THONOTOSASSA RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-4200
Mailing Address - Country:US
Mailing Address - Phone:813-752-5943
Mailing Address - Fax:813-752-4203
Practice Address - Street 1:1801 THONOTOSASSA RD
Practice Address - Street 2:SUITE 2
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-4200
Practice Address - Country:US
Practice Address - Phone:813-752-5943
Practice Address - Fax:813-752-4203
Is Sole Proprietor?:No
Enumeration Date:2011-07-10
Last Update Date:2011-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA18092173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist