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NPI Code Detail

MEDICARE: NIOBIS SARA LLERA

MEDICARE: NIOBIS SARA LLERA
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
1104100000XSocial Worker0100579FL

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 : 1154686319
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIOBIS SARA LLERA
Provider Business Mailing Address
First Line : 9900 STIRLING RD STE 103
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-8073
Country : US
Telephone Number : 954-300-2921
Fax Number : 954-901-2815
Provider Business Practice Location Address
First Line : 9900 STIRLING RD STE 103
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-8073
Country : US
Telephone Number : 954-300-2921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2012
Last Update Date : 05/18/2026

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Directions to “ NIOBIS SARA LLERA ” Practice Location

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