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NPI Code Detail

MEDICARE: MARIE FRANCOISE MYRTIL-PATRICE RBT

MEDICARE: MARIE FRANCOISE MYRTIL-PATRICE 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
1106S00000XBehavior TechnicianFL

General Provider Information

NPI Number : 1518589050
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE FRANCOISE MYRTIL-PATRICE RBT
Provider Business Mailing Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 954-380-1094
Fax Number : 877-418-2978
Provider Business Practice Location Address
First Line : 2202 N WEST SHORE BLVD STE 200
Second Line :
City : TAMPA
State : FL
Zip : 33607-5749
Country : US
Telephone Number : 954-380-1094
Fax Number : 877-418-2978
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2020
Last Update Date : 11/10/2023

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