Provider Demographics
NPI:1922482454
Name:GERARDINI, OSCAR A (OTR/L)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:A
Last Name:GERARDINI
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9066 SW 73RD CT
Mailing Address - Street 2:APT 203
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2966
Mailing Address - Country:US
Mailing Address - Phone:954-591-2303
Mailing Address - Fax:
Practice Address - Street 1:420 S DIXIE HWY STE 4D
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2232
Practice Address - Country:US
Practice Address - Phone:305-856-9000
Practice Address - Fax:305-856-9910
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 17119225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist