Provider Demographics
NPI:1124305487
Name:OCAMPO, MARIA SASHA (REGISTERED DIETIITAN)
Entity type:Individual
Prefix:
First Name:MARIA SASHA
Middle Name:
Last Name:OCAMPO
Suffix:
Gender:F
Credentials:REGISTERED DIETIITAN
Other - Prefix:
Other - First Name:SASHA
Other - Middle Name:
Other - Last Name:OCAMPO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:737 49TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-3728
Mailing Address - Country:US
Mailing Address - Phone:727-482-2524
Mailing Address - Fax:
Practice Address - Street 1:737 49TH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-3728
Practice Address - Country:US
Practice Address - Phone:727-482-2524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARD 819695133V00000X
FLND 4112133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered