MEDICARE: FLOR FARINAS RBT

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
1	106S00000X	Behavior Technician	RBT-22-215067	FL

General Provider Information

NPI Number	:	1275261174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLOR FARINAS RBT

Provider Business Mailing Address
First Line	:	PO BOX 877
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32756-0877
Country	:	US
Telephone Number	:	352-638-3515
Fax Number	:

Provider Business Practice Location Address
First Line	:	1755 LAKE TERRACE DR
Second Line	:
City	:	EUSTIS
State	:	FL
Zip	:	32726-5739
Country	:	US
Telephone Number	:	352-638-3515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2022
Last Update Date	:	08/10/2022

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Directions to “ FLOR FARINAS RBT” Practice Location

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