Hollyce Lauren Rosenblum, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA11896 Issued in FL

Practice address

3050 Brown Ave
Mount Dora, FL 32757-3453

Phone

(352) 383-4161

NPI assigned

Oct 5, 2011

Last updated

Oct 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1083998389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 FLORAL WAY E",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036611",
            "telephone_number": "407-733-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 BROWN AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327573453",
            "telephone_number": "352-383-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "HOLLYCE",
        "middle_name": "LAUREN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA11896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Romero
• Kelsey Beth Roquet, OD
• Ileana Rosado
• Martino Rosalva, MD
• Esteban Rosario-Velazquez, HIS
• Kristen Ross, APRN
• Jaimie Rouch
• Carl Thomas Rountree II, APRN, FNP-BC
• John Thomas Rowell, DPT, LAT, ATC
• Janell Royster

• Occupational Therapy Assistant in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.