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NPI Code Detail

MEDICARE: SIRIPORN CERBER

MEDICARE: SIRIPORN CERBER
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
1103K00000XBehavior Analyst1-19-39393FL
2104100000XSocial WorkerSW7637FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548618424
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIRIPORN CERBER
Provider Business Mailing Address
First Line : 7971 RIVIERA BLVD STE 402
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-6449
Country : US
Telephone Number : 561-446-0446
Fax Number :
Provider Business Practice Location Address
First Line : 7971 RIVIERA BLVD STE 402
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-6449
Country : US
Telephone Number : 561-446-0446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2016
Last Update Date : 04/23/2024

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Directions to “ SIRIPORN CERBER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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