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NPI Code Detail

MEDICARE: NADEGE OVILMAR

MEDICARE:   NADEGE  OVILMAR
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 : 1629948260
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADEGE OVILMAR
Provider Business Mailing Address
First Line : 5716 MELS WAY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33463-6725
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5716 MELS WAY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33463-6725
Country : US
Telephone Number : 561-917-0201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2025
Last Update Date : 11/08/2025

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Directions to “ NADEGE OVILMAR ” Practice Location

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