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NPI Code Detail

MEDICARE: GISELA NOVOA CASTINEIRA

MEDICARE:   GISELA  NOVOA CASTINEIRA
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 Technician

General Provider Information

NPI Number : 1629847793
Entity Type Code : Individual
Provider Name (Legal Business Name) : GISELA NOVOA CASTINEIRA
Provider Business Mailing Address
First Line : 1057 VIZCAYA LAKE RD
Second Line :
City : OCOEE
State : FL
Zip : 34761-6925
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 730 SAND LAKE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32809-7750
Country : US
Telephone Number : 407-214-5539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2023
Last Update Date : 12/29/2023

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Directions to “ GISELA NOVOA CASTINEIRA ” Practice Location

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