Provider Demographics
NPI:1457799611
Name:OSORIO, GLORIA C (CNA)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:C
Last Name:OSORIO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1781 MELLON WAY
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-2947
Mailing Address - Country:US
Mailing Address - Phone:941-993-2663
Mailing Address - Fax:
Practice Address - Street 1:1781 MELLON WAY
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-2947
Practice Address - Country:US
Practice Address - Phone:941-993-2663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA98215376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide