MEDICARE: EVELYN JEAN PELUFFO

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	101YM0800X	Mental Health Counselor	MH20591	FL

General Provider Information

NPI Number	:	1285373415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYN JEAN PELUFFO

Provider Business Mailing Address
First Line	:	1111 NE 25TH AVE STE 201
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-5666
Country	:	US
Telephone Number	:	352-789-4977
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 NE 25TH AVE STE 201
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-5666
Country	:	US
Telephone Number	:	352-789-4977
Fax Number	:

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

Provider Enumeration Date	:	06/04/2022
Last Update Date	:	02/10/2025

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Directions to “ EVELYN JEAN PELUFFO ” Practice Location

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