Spectrum Low Vision Florida PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT5211 Issued in FL

Legal business name

SPECTRUM LOW VISION FLORIDA PLLC

Practice address

10201 Tranquil LN
Odessa, FL 33556-2512

Phone

(813) 245-6635

Fax

(888) 959-1443

NPI assigned

Sep 13, 2013

Last updated

Sep 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul Thomas Scaglione, OTR

Title

President

Phone

(813) 245-6635

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1760817308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 TRANQUIL LN",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562512",
            "telephone_number": "813-245-6635",
            "fax_number": "888-959-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 TRANQUIL LN",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562512",
            "telephone_number": "813-245-6635",
            "fax_number": "888-959-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM LOW VISION FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "SCAGLIONE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-245-6635",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT5211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Odessa, FL
• Providers in Odessa, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.