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Azenith Casupang, OTR/L

NPI 1558513861 · on the registry since 2008

Practice

Address
701 Lake Port Blvd
Leesburg, FL 34748
Phone
(352) 728-3366
Fax
(352) 435-0206
Organisation at this address
Ccrc - Lake Port Square, Llc
Lake Harris Health Systems Llc
Lake Harris Health Systems Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida