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NPI Code Detail

MEDICARE: RAY ESCARPANTER HERNANDEZ

MEDICARE:   RAY  ESCARPANTER HERNANDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114660230
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAY ESCARPANTER HERNANDEZ
Provider Business Mailing Address
First Line : 8803 MESCALERO ST
Second Line :
City : ORLANDO
State : FL
Zip : 32829-8538
Country : US
Telephone Number : 407-431-7264
Fax Number :
Provider Business Practice Location Address
First Line : 8803 MESCALERO ST
Second Line :
City : ORLANDO
State : FL
Zip : 32829-8538
Country : US
Telephone Number : 407-431-7264
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2022
Last Update Date : 04/16/2022

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Directions to “ RAY ESCARPANTER HERNANDEZ ” Practice Location

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