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NPI Code Detail

MEDICARE: SAMUEL ROMERO OSPINA RBT-24-369154

MEDICARE: SAMUEL ROMERO OSPINA RBT-24-369154
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 TechnicianRBT-24-369154FL

General Provider Information

NPI Number : 1477386944
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL ROMERO OSPINA RBT-24-369154
Provider Business Mailing Address
First Line : 2782 SUNKISSED DR
Second Line :
City : SAINT CLOUD
State : FL
Zip : 34771-8490
Country : US
Telephone Number : 407-773-9366
Fax Number :
Provider Business Practice Location Address
First Line : 7448 ALOMA AVE STE 1
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-9171
Country : US
Telephone Number : 321-295-0315
Fax Number : 407-347-4018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2024
Last Update Date : 03/23/2026

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