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NPI Code Detail

MEDICARE: MIRIAM ESTHER PALAU CORONA

MEDICARE: MIRIAM ESTHER PALAU CORONA
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 TechnicianFL

General Provider Information

NPI Number : 1760345649
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRIAM ESTHER PALAU CORONA
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1413 TECH BLVD STE 122
Second Line :
City : TAMPA
State : FL
Zip : 33619-7822
Country : US
Telephone Number : 185-583-2672
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ MIRIAM ESTHER PALAU CORONA ” Practice Location

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