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NPI Code Detail

MEDICARE: NICOLAS COSENTINO

MEDICARE: NICOLAS COSENTINO
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 : 1518813211
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLAS COSENTINO
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number : 866-610-0580
Fax Number : 866-611-1558
Provider Business Practice Location Address
First Line : 17435 US HIGHWAY 441
Second Line :
City : MOUNT DORA
State : FL
Zip : 32757-6750
Country : US
Telephone Number : 352-434-0455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

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Directions to “ NICOLAS COSENTINO ” Practice Location

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