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NPI Code Detail

MEDICARE: MRS. VANESSA PENATE

MEDICARE: MRS. VANESSA PENATE
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 TechnicianRBT26513483FL

General Provider Information

NPI Number : 1710829015
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VANESSA PENATE
Provider Business Mailing Address
First Line : 849 OAK RESERVE LN
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-3059
Country : US
Telephone Number : 321-444-9527
Fax Number : 407-641-9591
Provider Business Practice Location Address
First Line : 2151 CONSULATE DR STE 11
Second Line :
City : ORLANDO
State : FL
Zip : 32837-8806
Country : US
Telephone Number : 321-444-9527
Fax Number : 407-641-9591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ MRS. VANESSA PENATE ” Practice Location

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