Provider Demographics
NPI:1356925010
Name:OSEI, AKOTO Y
Entity type:Individual
Prefix:
First Name:AKOTO
Middle Name:Y
Last Name:OSEI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3111 CORAL SPRINGS DR APT 216
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3813
Mailing Address - Country:US
Mailing Address - Phone:973-336-0595
Mailing Address - Fax:
Practice Address - Street 1:2240 E SUNRISE BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-2543
Practice Address - Country:US
Practice Address - Phone:954-566-8309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52405183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist