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NPI Code Detail

MEDICARE: JORGE NAZARIO

MEDICARE: JORGE NAZARIO
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
1225X00000XOccupational Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OT9436OTHERFLLICENSE #

General Provider Information

NPI Number : 1306952817
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE NAZARIO
Provider Business Mailing Address
First Line : 11756 SW 90TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33186-2171
Country : US
Telephone Number : 305-264-6776
Fax Number :
Provider Business Practice Location Address
First Line : 2734 SW 37TH AVE
Second Line :
City : COCONUT GROVE
State : FL
Zip : 33133-2728
Country : US
Telephone Number : 305-642-4263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 05/18/2026

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Directions to “ JORGE NAZARIO ” Practice Location

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