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NPI Code Detail

MEDICARE: MRS. FABIOLA I MEJIA

MEDICARE:  MRS. FABIOLA I MEJIA
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
1222Q00000XDevelopmental Therapist
22355S0801XSpeech-Language AssistantSI 1317FL

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 : 1558585919
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FABIOLA I MEJIA
Provider Business Mailing Address
First Line : 13200 MCCORMICK DR
Second Line :
City : TAMPA
State : FL
Zip : 33626-3010
Country : US
Telephone Number : 813-814-5971
Fax Number : 813-814-5972
Provider Business Practice Location Address
First Line : 13200 MCCORMICK DR
Second Line :
City : TAMPA
State : FL
Zip : 33626-3010
Country : US
Telephone Number : 813-814-5971
Fax Number : 813-814-5972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 05/28/2019

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Directions to “ MRS. FABIOLA I MEJIA ” Practice Location

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